Individual
GLORIA ELIZABETH DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1239 GEM CT SW, ALBUQUERQUE, NM 87121-5038
(505) 515-5158
Mailing address
1239 GEM CT SW, ALBUQUERQUE, NM 87121
(505) 515-5158
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/17/2015
Last updated
10/20/2016
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