Individual
AZURE T ATKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5523 AMISTAD RD NE, ALBUQUERQUE, NM 87111-1549
(505) 944-5563
Mailing address
5523 AMISTAD RD NE, ALBUQUERQUE, NM 87111-1549
(505) 944-5563
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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