Individual
MARISSA R MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 COURTHOUSE RD SE, LOS LUNAS, NM 87031-9596
(505) 202-1117
Mailing address
3876 HAWKINS ST NE, ALBUQUERQUE, NM 87109-4539
(505) 202-1117
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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