Individual
ANTHONY FLOYD I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADAC
Contact information
Practice address
1313 MISSION AVE., FARMINGTON, NM 87401
(505) 327-7218
(505) 327-0828
Mailing address
1305 CAMINA VEGA, FARMINGTON, NM 87401-8031
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
005701
NM
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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