LORETTA BIFULCO

ESPANOLA, NM
NPI1780773895
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  0090521)
Enumeration Date2006-10-12
Last Update Date2007-07-08
Business Address
-- LORETTA BIFULCO
904 FAIRVIEW DR. SUITE A
ESPANOLA, NM 87532
Phone number: 505-747-1991
Mailing Address
-- LORETTA BIFULCO
314 DON FERNANDO ST PO DRAWER KK
TAOS, NM 87571
Phone number: 505-751-7037