Individual
PATRICIA MAHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4615 GYPSUM DR NE, RIO RANCHO, NM 87124-4423
(315) 982-3277
Mailing address
4615 GYPSUM DR NE, RIO RANCHO, NM 87124-4423
(315) 982-3277
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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