LAURENCE E RIVERA

TUCUMCARI, NM
NPI1649503889
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2009-09-04
Last Update Date2009-09-04
Business Address
LAURENCE E RIVERA TREATMENT COORD
1110 E HIGH ST
TUCUMCARI, NM 88401-2510
Phone number: 575-461-4411
Mailing Address
LAURENCE E RIVERA TREATMENT COORD
PO BOX 28220
SANTA FE, NM 87592-8220
Phone number: 505-471-5006
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