Individual
ANGEL GRIJALVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 E. 20TH ST., FARMINGTON, NM 87401
(866) 273-2451
Mailing address
1211 8TH ST STE C, ALAMOGORDO, NM 88310-6774
(866) 273-2451
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
08/21/2023
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