CALVIN J NEZ

TUBA CITY, AZ
NPI1659581353
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC-11030)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
Mr. CALVIN J NEZ Lisac, Icadc, Scb
BUILDING NO 25
TUBA CITY, AZ 86045
Phone number: 928-283-3031
Mailing Address
Mr. CALVIN J NEZ Lisac, Icadc, Scb
PO BOX 3685
TUBA CITY, AZ 86045-3685
Phone number: 928-283-6966
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