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Individual

JULIA CUMMINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8920 HOLLY AVE NE, 102B, ALBUQUERQUE, NM 87122-2988
(505) 856-6880
Mailing address
7412 ESTES PARK AVE NW, ALBUQUERQUE, NM 87114-3944
(575) 302-7785

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
507024483
NM

Other

Enumeration date
07/14/2015
Last updated
07/14/2015
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