MARK J MEDINA

LAS VEGAS, NM
NPI1780423582
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-05-21
Last Update Date2024-05-21
Business Address
MARK J MEDINA CSW
2301 7TH ST STE A
LAS VEGAS, NM 87701-4966
Phone number: 505-454-8079
Mailing Address
MARK J MEDINA CSW
105 PASEO DEL CANON W STE A
TAOS, NM 87571-6943
Phone number: 575-737-5533