AMANDA M PENA

PORTALES, NM
NPI1265765416
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2009-09-04
Last Update Date2009-09-04
Business Address
AMANDA M PENA RESPITE
220 W 2ND ST
PORTALES, NM 88130-6232
Phone number: 575-356-2222
Mailing Address
AMANDA M PENA RESPITE
PO BOX 28220
SANTA FE, NM 87592-8220
Phone number: 505-471-5006