DAVID DOMINGUEZ-MAEZ

ESPANOLA, NM
NPI1366944308
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  0180121)
Enumeration Date2018-03-06
Last Update Date2018-03-06
Business Address
DAVID DOMINGUEZ-MAEZ LSAA
1227 N RAILROAD AVE
ESPANOLA, NM 87532-3147
Phone number: 505-747-8187
Mailing Address
DAVID DOMINGUEZ-MAEZ LSAA
1227 N RAILROAD AVE
ESPANOLA, NM 87532-3147
Phone number: 505-747-8187
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