Individual
JAMIE MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
536 LOS LENTES RD SE, LOS LUNAS, NM 87031-7052
(505) 944-6626
Mailing address
PO BOX 3372, LOS LUNAS, NM 87031-3372
(505) 944-6626
(505) 359-3239
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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