ROGER DANIEL MARTINEZ

TAOS, NM
NPI1194932020
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  4956)
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
Mr. ROGER DANIEL MARTINEZ LADAC
413 SIPAPU
TAOS, NM 87571-6489
Phone number: 505-758-5857
Mailing Address
Mr. ROGER DANIEL MARTINEZ LADAC
PO BOX 33073
SANTA FE, NM 87594-3073
Phone number: 505-758-7629
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