Individual
PRINCETEN BUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
524 BERRY RD NW, ALBUQUERQUE, NM 87107-5214
(505) 238-6440
Mailing address
524 BERRY RD NW, ALBUQUERQUE, NM 87107-5214
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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