Individual
ELIZABET CAMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
132 WINSTON DR, LOS LUNAS, NM 87031-5804
(505) 507-4203
Mailing address
132 WINSTON DR, LOS LUNAS, NM 87031-5804
(505) 507-4203
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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