Individual
DOMINIQUE BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
507 EL DORADO DR NW, ALBUQUERQUE, NM 87114-1745
(505) 376-2442
Mailing address
507 EL DORADO DR NW, ALBUQUERQUE, NM 87114-1745
(505) 376-2442
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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