Individual
ISAIAH JOSEPH SORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2884 PINEWOOD DR SE, RIO RANCHO, NM 87124-3979
(505) 501-9069
Mailing address
2884 PINEWOOD DR SE, RIO RANCHO, NM 87124-3979
(505) 501-9069
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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