Individual
ROSITA LORREYNA SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 CALLE BACA, ESPANOLA, NM 87532
(505) 484-0743
Mailing address
PO BOX 3711, ESPANOLA, NM 87533-3711
(505) 484-0743
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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