Most Relevant Information
Provider Data
| NPI Number: | 1003018623 |
| Provider Name: | RAYMOND MOSES SALAZAR |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/05/2007 |
| Last Updated: | 02/11/2019 |
Provider Practice Location
2265 LAVA LN
ALAMOSA
CO
811013578
Practice Location Phone/Fax
| Phone: | 7195895176 |
| Fax: | 7195895795 |
Provider Mailing Location
2265 LAVA LN
ALAMOSA
CO
811013578
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |