LISA R HOMER

PORTALES, NM
NPI1811414469
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-08-24
Last Update Date2017-08-24
Business Address
LISA R HOMER
1500 S AVE K STATION 3, SHROC
PORTALES, NM 88130
Phone number: 575-562-2156
Mailing Address
LISA R HOMER
1500 S AVE K STATION 3, SHROC
PORTALES, NM 88130
Phone number: