ETHEL SHAW

TUCUMCARI, NM
NPI1013215110
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2011-03-14
Last Update Date2011-03-14
Business Address
-- ETHEL SHAW
1110 E. HIGH STREET
TUCUMCARI, NM 88401
Phone number: 575-461-4411
Mailing Address
-- ETHEL SHAW
P.O. BOX 28820
SANTA FE, NM 87592
Phone number: