Individual
KORAH MAKAYLA ROYBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
695 CALLE DEL SOL, BOSQUE FARMS, NM 87068-9797
(505) 916-7668
Mailing address
695 CALLE DEL SOL, BOSQUE FARMS, NM 87068-9797
(505) 916-7668
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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