LORENZO R JIM

ALBUQUERQUE, NM
NPI1710210513
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  0125371)
Enumeration Date2009-09-10
Last Update Date2009-09-10
Business Address
Mr. LORENZO R JIM LADAC
5608 ZUNI RD SE
ALBUQUERQUE, NM 87108-2926
Phone number: 505-262-2481
Mailing Address
Mr. LORENZO R JIM LADAC
5608 ZUNI RD SE
ALBUQUERQUE, NM 87108-2926
Phone number: 505-262-2481
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