Individual
MAKENNA MUZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 WILDER LOOP NE, RIO RANCHO, NM 87144-1438
(505) 610-7718
Mailing address
2720 WILDER LOOP NE, RIO RANCHO, NM 87144-1438
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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