Individual
CINTHIA GABRIELA MARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 OFFICE COURT DR STE 706, SANTA FE, NM 87507-4958
(505) 395-9611
Mailing address
PO BOX 1322, SANTA CRUZ, NM 87567-1322
(505) 692-8224
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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