LUANITA MARIE ETSITY

SHIPROCK, NM
NPI1821641986
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  0092811)
Enumeration Date2019-07-18
Last Update Date2019-07-18
Business Address
LUANITA MARIE ETSITY
HWY 491 NORTH PINON STREET
SHIPROCK, NM 87420-1830
Phone number: 505-368-1589
Mailing Address
LUANITA MARIE ETSITY
PO BOX 1830
SHIPROCK, NM 87420-1830
Phone number: 505-368-1589
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