LIV BASSO

SANTA FE, NM
NPI1073846010
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2009-09-09
Last Update Date2009-09-09
Business Address
-- LIV BASSO BMS
2504 CAMINO ENTRADA
SANTA FE, NM 87507
Phone number: 505-471-5006
Mailing Address
-- LIV BASSO BMS
PO BOX 28220
SANTA FE, NM 87592
Phone number: 505-471-5006
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