Individual
AUTUMN HIESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., SPED
Contact information
Practice address
8920 HOLLY AVE NE STE 102B, ALBUQUERQUE, NM 87122-2989
(720) 308-3271
Mailing address
PO BOX 2593, CORRALES, NM 87048-2593
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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