Individual
JOHN BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1302 CALLE DE LA MERCED, ESPANOLA, NM 87532-2624
(575) 747-0081
Mailing address
2551 COORS BLVD NW, ALBUQUERQUE, NM 87120-1213
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/29/2012
Last updated
10/16/2014
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