Individual
JULISSA RAQUEL ZAMBRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10632 CAPRICORN PL NW, ALBUQUERQUE, NM 87114-3402
(505) 948-8482
Mailing address
10632 CAPRICORN PL NW, ALBUQUERQUE, NM 87114-3402
(505) 948-8482
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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