JOHN STAN ESPINOZA

TAOS, NM
NPI1861686511
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NM  0073521)
Enumeration Date2007-09-05
Last Update Date2007-09-05
Business Address
MR. JOHN STAN ESPINOZA LADAC
413 SIPAPU ROAD
TAOS, NM 87571
Phone number: 505-758-5857
Mailing Address
MR. JOHN STAN ESPINOZA LADAC
PO BOX 1214
TAOS, NM 87571-1214
Phone number: 505-737-5533
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