Individual
MRS. RACHEL ELIZABETH HAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 ENCANTADO LOOP, SANTA FE, NM 87508-8279
(360) 627-0061
Mailing address
9 ENCANTADO LOOP, SANTA FE, NM 87508-8279
(360) 627-0061
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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