LUPE E BRYAN

BERNALILLO, NM
NPI1316100175
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  67352)
Enumeration Date2008-07-02
Last Update Date2008-07-02
Business Address
Mrs. LUPE E BRYAN
1043 HWY 313
BERNALILLO, NM 87004-6912
Phone number: 505-867-3351
Mailing Address
Mrs. LUPE E BRYAN
1043 HWY 313
BERNALILLO, NM 87004-6912
Phone number: 505-867-3351