Dominic R Fernandez BMS

NPI 1194058271 - Counselor - 101Y00000X

NPI Details
NPI 1194058271
Gender Male
Enumeration Date 09/08/2009
Last Updated 09/08/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
501 S 4TH ST
SANTA ROSA NM, 88435-2417, US
Phone (575) 472-0745
Business Location
PO BOX 28220
SANTA FE NM, 87592-8220, US
Phone (505) 471-5006
Fax (505) 820-9220
Taxonomy Code 101Y00000X
License State
License Number
Remove 1194058271 NPI Number

According to our database, Dominic R Fernandez BMS NPI is 1194058271, taxonomy code is 101Y00000X Dominic R Fernandez BMS physically located at 501 S 4th St, Santa Rosa NM, 88435-2417. NPI Number Dominic R Fernandez BMS has the Individual type.

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1194058271 NPI number is provided on an as is basis without warranty of any kind. 1194058271 is maintained by the National Plan & Provider Enumeration System. The contents of Dominic R Fernandez BMS are for informational purposes only.