Individual
BRISA BALDERRAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3821 W COLLEGE LN, HOBBS, NM 88242-9126
(575) 392-2231
Mailing address
PO BOX 907, HOBBS, NM 88241-0907
(575) 393-3168
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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