Individual
LEAH CHRISTI PANIAGUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
903 MANZANO AVE SE, LOS LUNAS, NM 87031-6264
(505) 710-0509
Mailing address
903 MANZANO AVE SE, LOS LUNAS, NM 87031-6264
(505) 710-0509
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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