David Burciaga YOUTH CARE-BONEM HM

NPI 1134452105 - Counselor - 101Y00000X

NPI Details
NPI 1134452105
Gender Male
Enumeration Date 09/09/2009
Last Updated 03/17/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
1111 W. FIR
PORTALES NM, 88101, US
Phone (575) 356-5112
Fax (505) 820-9220
Business Location
1100 W. 21ST
CLOVIS NM, 88101, US
Phone (575) 769-2345
Fax (575) 769-9013
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, David Burciaga YOUTH CARE-BONEM HM NPI is 1134452105, taxonomy code is 101Y00000X David Burciaga YOUTH CARE-BONEM HM physically located at 1111 W. Fir, Portales NM, 88101. NPI Number David Burciaga YOUTH CARE-BONEM HM has the Individual type.

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1134452105 NPI number is provided on an as is basis without warranty of any kind. 1134452105 is maintained by the National Plan & Provider Enumeration System. The contents of David Burciaga YOUTH CARE-BONEM HM are for informational purposes only.