Individual
ROSALBA I PONCE REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
187B SUNRISE RD, SANTA FE, NM 87507-3781
(505) 577-7685
Mailing address
187B SUNRISE RD, SANTA FE, NM 87507-3781
(505) 577-7685
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
10/30/2019
Last updated
12/02/2019
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