MAC LASATER

ALBUQUERQUE, NM
NPI1386387967
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: NM  1397)
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2022-04-20
Last Update Date2026-07-27
Business Address
MAC LASATER
13139 CENTRAL AVE NE
ALBUQUERQUE, NM 87123-3031
Phone number: 505-595-1607
Mailing Address
MAC LASATER
13139 CENTRAL AVE NE
ALBUQUERQUE, NM 87123-3031
Phone number: 505-595-1607
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