Individual
PAULA GRACE GUTSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 RASPBERRY CT NE, RIO RANCHO, NM 87144-8025
(505) 414-5579
Mailing address
1900 RASPBERRY CT NE, RIO RANCHO, NM 87144-8025
(505) 414-5579
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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