Individual
GENESIS LINDA GORDIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4204 MOLINO CT SW, ALBUQUERQUE, NM 87121-8527
(714) 209-0595
Mailing address
4204 MOLINO CT SW, ALBUQUERQUE, NM 87121-8527
(714) 209-0595
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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