Individual
RYANNE KIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 ARROWHEAD RD., LAGUNA, NM 87026
(505) 974-0724
Mailing address
PO BOX 421, NEW LAGUNA, NM 87038-0421
(505) 974-0724
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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