Individual
JOSE LUVIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
134 N LOPEZ, CHAMBERINO, NM 88027
(915) 329-9007
Mailing address
PO BOX 473, CHAMBERINO, NM 88027-0473
(915) 329-9007
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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