CORNELIO DOMINGO MONTOYA

ALBUQUERQUE, NM
NPI1699135608
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  0178541)
Enumeration Date2016-03-03
Last Update Date2016-03-03
Business Address
-- CORNELIO DOMINGO MONTOYA LSAA
1528 FIVE POINTS RD SW
ALBUQUERQUE, NM 87105-3179
Phone number: 505-242-6919
Mailing Address
-- CORNELIO DOMINGO MONTOYA LSAA
1528 FIVE POINTS RD SW
ALBUQUERQUE, NM 87105-3179
Phone number: 505-242-6919
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