KANE ANDREW GRANT

SANTA TERESA, NM
NPI1417793993
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-07-03
Last Update Date2024-07-03
Business Address
KANE ANDREW GRANT
5312 RIO BRAVO DR STE 10
SANTA TERESA, NM 88008-9210
Phone number: 575-915-1338
Mailing Address
KANE ANDREW GRANT
5312 RIO BRAVO DR STE 10
SANTA TERESA, NM 88008-9210
Phone number: 575-915-1338