Individual
DOMINIQUE VALENCIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 DORADO PL SE APT C, ALBUQUERQUE, NM 87123-3662
(505) 304-0536
Mailing address
307 DORADO PL SE APT C, ALBUQUERQUE, NM 87123-3662
(505) 304-0536
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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