MICHAEL ELLIS DEIERHOI

ALBUQUERQUE, NM
NPI1386964013
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2010-06-04
Last Update Date2014-03-20
Business Address
Mr. MICHAEL ELLIS DEIERHOI CPSW
622 MANZANO ST NE
ALBUQUERQUE, NM 87110-6302
Phone number: 505-506-5261
Mailing Address
Mr. MICHAEL ELLIS DEIERHOI CPSW
622 MANZANO ST NE
ALBUQUERQUE, NM 87110-6302
Phone number: 505-506-5261