Individual
SAMANTHA MURTHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10500 CIBOLA LOOP NW # APTE104, ALBUQUERQUE, NM 87114-5178
(419) 957-2715
Mailing address
10500 CIBOLA LOOP NW APT E104, ALBUQUERQUE, NM 87114-5106
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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