Individual
MS. KIMBERLY DAWN FOUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1108 MEADOWLARK WAY SE APT C, RIO RANCHO, NM 87124-3279
(505) 550-9884
Mailing address
1108 MEADOWLARK WAY SE APT C, RIO RANCHO, NM 87124-3279
(505) 550-9884
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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