Individual
MARIE MARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 E 30TH ST APT 63, FARMINGTON, NM 87401-2174
(505) 423-3927
Mailing address
610 E 30TH ST APT 63, FARMINGTON, NM 87401-2174
(505) 423-3927
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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