Individual
ANNA ROTHLISBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2313 N SANTIAGO AVE, FARMINGTON, NM 87401-9064
(505) 419-7312
Mailing address
2313 N SANTIAGO AVE, FARMINGTON, NM 87401-9064
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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