Individual
HANNAH FELICE ROSACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
72 EL SITIO RD, ESPANOLA, NM 87532-9698
(505) 692-0606
Mailing address
72 EL SITIO RD, ESPANOLA, NM 87532-9698
(505) 692-0606
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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