Cuahutemoc Bolanos FSS

NPI 1508199563 - Counselor - 101Y00000X

NPI Details
NPI 1508199563
Gender Male
Enumeration Date 09/09/2009
Last Updated 09/09/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
CLOVIS NM, 88101, US
Phone (575) 742-2620
Fax (575) 742-3182
Business Location
PO BOX 28220
SANTA FE NM, 87592, US
Phone (505) 471-5006
Fax (505) 820-9220
Taxonomy Code 101Y00000X
License State
License Number
Remove 1508199563 NPI Number

According to our database, Cuahutemoc Bolanos FSS NPI is 1508199563, taxonomy code is 101Y00000X Cuahutemoc Bolanos FSS physically located at 121 Townsgate, Clovis NM, 88101. NPI Number Cuahutemoc Bolanos FSS has the Individual type.

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1508199563 NPI number is provided on an as is basis without warranty of any kind. 1508199563 is maintained by the National Plan & Provider Enumeration System. The contents of Cuahutemoc Bolanos FSS are for informational purposes only.