Individual
JAYLENE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
912 FAIRGROUNDS RD. TRL 36, FARMINGTON, NM 87401
(505) 592-3357
Mailing address
912 FAIRGROUNDS RD. TRL 36, FARMINGTON, NM 87401
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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