David Burciaga, YOUTH CARE-BONEM HM
NPI #1134452105 in Portales, New Mexico
Provider Information
- NPI Number
- 1134452105
- Entity Type
- Individual
- Name
- David Burciaga, YOUTH CARE-BONEM HM
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Credential
- YOUTH CARE-BONEM HM
- Enumeration Date
- Sep 9, 2009
- Last Updated
- Mar 17, 2015
Practice Location
- Address
- 1111 W. FIR
- City
- Portales
- State
- New Mexico
- ZIP Code
- 88101
- Phone
- (575) 356-5112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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