Individual
DOMINIC HERRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3332 WYOMING BLVD NE, ALBUQUERQUE, NM 87111-4454
(210) 363-1999
Mailing address
3332 WYOMING BLVD NE, ALBUQUERQUE, NM 87111-4454
(210) 363-1999
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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