Individual
JOHN JOSEPH FAJARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
814 CAGUA DR NE, ALBUQUERQUE, NM 87108-1829
(505) 514-2840
Mailing address
814 CAGUA DR NE, ALBUQUERQUE, NM 87108-1829
(505) 514-2840
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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