MANUEL ROMAN MARTINEZ

PUEBLO, CO
NPI1881182830
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  0007634)
Enumeration Date2018-04-25
Last Update Date2018-04-25
Business Address
MANUEL ROMAN MARTINEZ CAC 1
720 N MAIN ST STE 240
PUEBLO, CO 81003-3046
Phone number: 719-569-7909
Mailing Address
MANUEL ROMAN MARTINEZ CAC 1
1611 GLENWOOD LN
PUEBLO, CO 81005-2213
Phone number: 719-248-9629