Individual
SARAH MICHELLE CANION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
63 ROAD 3050, AZTEC, NM 87410-9637
(505) 634-8236
Mailing address
PO BOX 1087, AZTEC, NM 87410-1087
(505) 634-8236
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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