KELLY MICHAEL HARTZ

CLOVIS, NM
NPI1477627560
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2006-11-20
Last Update Date2007-07-08
Business Address
MR. KELLY MICHAEL HARTZ MED
1100 W 21ST MENTAL HEALTH RESOURCES
CLOVIS, NM 88101
Phone number: 505-769-2345
Mailing Address
MR. KELLY MICHAEL HARTZ MED
404 MAPLE
CLOVIS, NM 88101
Phone number: 505-769-9128