Individual
LISBETH AZUCENA WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
63 FROST RD., SANDIA PARK, NM 87047
(505) 286-9193
Mailing address
63 FROST RD., SANDIA PARK, NM 87047
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/07/2018
Last updated
09/11/2018
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