BOBBY G CANDELARIA

FARMINGTON, NM
NPI1720231376
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  0069761)
Enumeration Date2008-10-28
Last Update Date2008-10-28
Business Address
Mr. BOBBY G CANDELARIA LADAC
205 N AUBURN AVE
FARMINGTON, NM 87401-8411
Phone number: 505-564-3733
Mailing Address
Mr. BOBBY G CANDELARIA LADAC
803 W FIRWOOD ST
BLOOMFIELD, NM 87413-5020
Phone number: 505-632-8075