Individual
MS. CHRISTINA MARIE HENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 VISTA ENCANTADA, EDGEWOOD, NM 87015-9530
(505) 433-8309
Mailing address
10 VISTA ENCANTADA, EDGEWOOD, NM 87015-9530
(505) 433-8309
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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