DOMINIC R FERNANDEZ

SANTA ROSA, NM
NPI1194058271
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2009-09-08
Last Update Date2009-09-08
Business Address
-- DOMINIC R FERNANDEZ BMS
501 S 4TH ST
SANTA ROSA, NM 88435-2417
Phone number: 575-472-0745
Mailing Address
-- DOMINIC R FERNANDEZ BMS
PO BOX 28220
SANTA FE, NM 87592-8220
Phone number: 505-471-5006