Individual
MS. JOANNA RULL MIODUSZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10511 GOLF COURSE RD NW STE 103, ALBUQUERQUE, NM 87114-5917
(505) 658-4876
Mailing address
10404 SKY TRAIL CT NW, ALBUQUERQUE, NM 87114-5827
(607) 316-5913
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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