Individual
DANIEL MACEACHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 MORRIS RD SE, LOS LUNAS, NM 87031-5242
(505) 866-2318
Mailing address
PO BOX 28220, SANTA FE, NM 87592-8220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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