Individual
ANNE MARIE ECONOPOULY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
833 PECOS LOOP SE, RIO RANCHO, NM 87124-3128
(505) 385-0277
Mailing address
833 PECOS LOOP SE, RIO RANCHO, NM 87124-3128
(505) 385-0277
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
NM
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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