Individual
MR. JOSEPH SAM PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1350 CENTRAL AVE STE 102, LOS ALAMOS, NM 87544-3244
(505) 551-1241
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/31/2021
Last updated
07/31/2021
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