Individual
ANEL NOHELI SOTO TENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 OFFICE COURT DR STE 706, SANTA FE, NM 87507-4958
(505) 544-1800
Mailing address
12B LOS CIELOS LN, SANTA FE, NM 87507-8533
(505) 544-1800
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
513243189
NM
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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