GREGORY THOMAS LYLES-DAVIS

ALBUQUERQUE, NM
NPI1326397068
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-09-07
Last Update Date2012-09-07
Business Address
Mr. GREGORY THOMAS LYLES-DAVIS
332 JEFFERSON ST NE APT A
ALBUQUERQUE, NM 87108-1259
Phone number: 505-212-7405
Mailing Address
Mr. GREGORY THOMAS LYLES-DAVIS
332 JEFFERSON ST NE APT A
ALBUQUERQUE, NM 87108-1259
Phone number: 505-212-7405