Individual
MELISSA MARIE TRUJILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 COUNTY ROAD 356, DULCE, NM 87528-3001
(575) 419-0320
Mailing address
HC 71 BOX 201, 13728 US HWY 64, DULCE, NM 87528
(575) 759-0099
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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