Individual
JAZMINE BLACKWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 DOMINGO RD NE, ALBUQUERQUE, NM 87108-1610
(505) 268-5295
(505) 268-9967
Mailing address
5601 DOMINGO RD NE, ALBUQUERQUE, NM 87108-1610
(505) 268-5295
(505) 268-9967
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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