LAURISSA BUSTILLOS LLC

ALBUQUERQUE, NM
NPI1407360761
Entity TypeOrganization
Authorized ContactLAURISSA BUSTILLOS
Therapist
575-649-4880
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: NM  T-0193001)
Enumeration Date2017-11-24
Last Update Date2017-11-24
Business Address
LAURISSA BUSTILLOS LLC
2221 RIO GRANDE BLVD NW
ALBUQUERQUE, NM 87104-2529
Phone number: 575-649-4880
Mailing Address
LAURISSA BUSTILLOS LLC
5425 REMINGTON RD
LAS CRUCES, NM 88011-2513
Phone number:
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