Individual
MARTIN JOSUE ERIVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1118 W AZTEC BLVD, AZTEC, NM 87410-1818
(505) 334-9474
Mailing address
1118 W AZTEC BLVD, AZTEC, NM 87410-1818
(505) 334-9474
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
SWB-20220242
NM
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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