ISIDRO LOPEZ

RATON, NM
NPI1093130163
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101Y00000X Counselor
Enumeration Date2014-02-26
Last Update Date2020-05-07
Business Address
ISIDRO LOPEZ
1273 S 2ND ST
RATON, NM 87740-2234
Phone number: 575-445-3557
Mailing Address
ISIDRO LOPEZ
PO BOX 94508
ALBUQUERQUE, NM 87199-4508
Phone number: