Jacob Brito II

NPI 1083970404 - Counselor - 101YM0800X

NPI Details
NPI 1083970404
Gender Male
Enumeration Date 04/10/2012
Last Updated 04/10/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
858 GILMORE ST
SANTA FE NM, 87505-1643, US
Phone (505) 577-5646
Fax
Business Location
858 GILMORE ST
SANTA FE NM, 87505-1643, US
Phone (505) 577-5646
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State New Mexico
License Number 850206810
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According to our database, Mr. Jacob Brito II NPI is 1083970404, taxonomy code is 101YM0800X and license number is 850206810, license state is located at New Mexico. Jacob Brito II physically located at 858 Gilmore St, Santa Fe NM, 87505-1643. NPI Number Jacob Brito II has the Individual type.

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1083970404 NPI number is provided on an as is basis without warranty of any kind. 1083970404 is maintained by the National Plan & Provider Enumeration System. The contents of Jacob Brito II are for informational purposes only.