Individual
MIQUELLA ESPINOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
189 STATE ROAD 503 # 1A, SANTA FE, NM 87506-9780
(505) 692-5200
Mailing address
PO BOX 146, CHIMAYO, NM 87522-0146
(505) 692-5200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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