Individual
RIQUE NATASHA FERNANDEZ-LYMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 CENTRAL AVE STE 102, LOS ALAMOS, NM 87544-3218
(505) 551-1241
Mailing address
1350 CENTRAL AVE STE 102, LOS ALAMOS, NM 87544-3218
(505) 551-1241
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
515087427
NM
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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