PHILOMENA LUIZ

ROSWELL, NM
NPI1912139254
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  3573)
Enumeration Date2009-08-20
Last Update Date2009-08-20
Business Address
-- PHILOMENA LUIZ LADAC
110 E MESCALERO RD
ROSWELL, NM 88201-6542
Phone number: 575-623-1480
Mailing Address
-- PHILOMENA LUIZ LADAC
PO BOX 1978
ROSWELL, NM 88202-1978
Phone number: 575-623-1480
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