Individual
CHASITY ANNEMARIE POTEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 VISTA GRANDE DR NW UNIT 32, ALBUQUERQUE, NM 87120-1039
(505) 433-8938
Mailing address
PO BOX 1370, MORIARTY, NM 87035-1370
(505) 658-5548
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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