Provider Demographics
NPI:1063935328
Name:OOMEN-HAJAGOS, JAMINA (PHD, MS)
Entity type:Individual
Prefix:DR
First Name:JAMINA
Middle Name:
Last Name:OOMEN-HAJAGOS
Suffix:
Gender:F
Credentials:PHD, MS
Other - Prefix:DR
Other - First Name:JAMINA
Other - Middle Name:
Other - Last Name:OOMEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, MS
Mailing Address - Street 1:1201 CAMINO DE SALUD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-4517
Mailing Address - Country:US
Mailing Address - Phone:505-925-0156
Mailing Address - Fax:505-925-0187
Practice Address - Street 1:1201 CAMINO DE SALUD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-4517
Practice Address - Country:US
Practice Address - Phone:505-925-0156
Practice Address - Fax:505-925-0187
Is Sole Proprietor?:No
Enumeration Date:2017-07-19
Last Update Date:2017-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMGC2017-017170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS