Jeanette Vice Toledo Vice LSAA

NPI 1083986871 - Counselor - 101YA0400X

NPI Details
NPI 1083986871
Gender Female
Enumeration Date 02/08/2012
Last Updated 02/08/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
HC 79 BOX 1510
OJO ENCINO NM, 87013-9612, US
Phone (505) 731-1500
Fax (505) 731-1502
Business Location
HC 79 BOX 1508
OJO ENCINO NM, 87013-9612, US
Phone (505) 731-1505
Fax (505) 731-1502
Toxanomy
Taxonomy Code 101YA0400X
License State New Mexico
License Number 070481
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According to our database, Ms. Jeanette Vice Toledo Vice LSAA NPI is 1083986871, taxonomy code is 101YA0400X and license number is 070481, license state is located at New Mexico. Jeanette Vice Toledo Vice LSAA physically located at Hc 79 Box 1510, Ojo Encino NM, 87013-9612. NPI Number Jeanette Vice Toledo Vice LSAA has the Individual type.

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1083986871 NPI number is provided on an as is basis without warranty of any kind. 1083986871 is maintained by the National Plan & Provider Enumeration System. The contents of Jeanette Vice Toledo Vice LSAA are for informational purposes only.