Individual
MRS. JACQUELINE ANDREA ZAMORA ALVARADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 BONEYARD RD, ESPANOLA, NM 87532
(505) 577-9911
Mailing address
HC 64 BOX 1, SANTA CRUZ, NM 87567-9702
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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