Individual
CHRISTOPHER L NUTTALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
414 N 3RD ST, BLOOMFIELD, NM 87413-5811
(505) 419-0918
Mailing address
414 N 3RD ST, BLOOMFIELD, NM 87413-5811
(505) 419-0918
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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