Individual
ALEXIS JESSICA SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10804 WALNUT CANYON RD SW, ALBUQUERQUE, NM 87121-2666
(150) 557-3409
Mailing address
10804 WALNUT CANYON RD SW, ALBUQUERQUE, NM 87121-2666
(150) 557-3409
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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