Individual
JAMES PHILLIP LIAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2700 VISTA GRANDE NW, UNIT 32, ALBUQUERQUE, NM 87120
(505) 433-8938
Mailing address
2321 ESPANOLA ST. NE, ALBUQUERQUE, NM 87110
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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