Individual
LOU JUANA TORIVIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1218 GRIEGOS RD NW, ALBUQUERQUE, NM 87107-3752
(505) 287-3672
Mailing address
1218 GRIEGOS RD NW, ALBUQUERQUE, NM 87107-3752
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3723048676
—
NM
Enumeration date
02/26/2014
Last updated
02/26/2014
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