Anita A Vigil LISW

NPI 1154540763 - Social Worker - 1041C0700X

NPI Details
NPI 1154540763
Gender Female
Enumeration Date 04/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1206 N RIVERSIDE DR
ESPANOLA NM, 87532-2811, US
Phone (505) 747-0102
Fax (505) 753-9758
Business Location
PO BOX 231
ESPANOLA NM, 87532-0231, US
Phone (505) 747-6809
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State New Mexico
License Number I-1343
Remove 1154540763 NPI Number
 

According to our database, Anita A Vigil LISW NPI is 1154540763, taxonomy code is 1041C0700X and license number is I-1343, license state is located at New Mexico. Anita A Vigil LISW physically located at 1206 N Riverside Dr, Espanola NM, 87532-2811. NPI Number Anita A Vigil LISW has the Individual type.

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1154540763 NPI number is provided on an as is basis without warranty of any kind. 1154540763 is maintained by the National Plan & Provider Enumeration System. The contents of Anita A Vigil LISW are for informational purposes only.