Individual
RENEE EARHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 STEPHEN MOODY ST SE, APT. 1436, ALBUQUERQUE, NM 87123-1992
(505) 433-3773
Mailing address
701 STEPHEN MOODY ST SE, APT. 1436, ALBUQUERQUE, NM 87123-1992
(505) 433-3773
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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