Individual
ELIZABETH CHAVON QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3541 SUN MESA ST SW, LOS LUNAS, NM 87031-6164
(505) 203-7167
Mailing address
3541 SUN MESA ST SW, LOS LUNAS, NM 87031-6164
(505) 203-7167
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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