Individual
ANGELINA LEEANN LARGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3319 PRAIRIE RDG, LOS LUNAS, NM 87031-6716
(505) 930-3836
Mailing address
3319 PRAIRIE RDG, LOS LUNAS, NM 87031-6716
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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