LARISSA MARIE CAMPOS

SANTA ROSA, NM
NPI1528370608
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2010-07-06
Last Update Date2010-07-06
Business Address
-- LARISSA MARIE CAMPOS
501 S 4TH ST
SANTA ROSA, NM 88435-2417
Phone number: 575-472-0745
Mailing Address
-- LARISSA MARIE CAMPOS
PO BOX 28220
SANTA FE, NM 87592-8220
Phone number: 505-471-5006