Individual
DAVID BORUNDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 E IDAHO AVE, LAS CRUCES, NM 88001-4703
(575) 524-2505
Mailing address
PO BOX 585, MESILLA PARK, NM 88047-0585
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0141841
NM
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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