Individual
STEPHEN BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
816 LA LUZ DR, BELEN, NM 87002-3343
(505) 450-3920
Mailing address
816 LA LUZ DR, BELEN, NM 87002-3343
(505) 450-3920
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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