Individual
CHANTE ALISE MCKINLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2007 MOSSMAN AVE, GALLUP, NM 87301-4877
(505) 979-2317
Mailing address
2007 MOSSMAN AVE, GALLUP, NM 87301-4877
(505) 979-2317
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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