Individual
MR. SAMUEL A ARAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
HWY 518 RANGER RD., MORA, NM 87773
(505) 387-3113
Mailing address
HWY 518 RANGER RD., MORA, NM 87773
(505) 387-3113
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
I-0865
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15700763
—
NM
Enumeration date
10/04/2007
Last updated
10/04/2007
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