Individual
JUDITH ABIUD ITKOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4087 LA PURISIMA DR, LAS CRUCES, NM 88011-4205
(713) 382-7879
Mailing address
4087 LA PURISIMA DR, LAS CRUCES, NM 88011-4205
(713) 382-7879
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
36868468
TX
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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