Individual
ASHTON LYNETTE GATEWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7504 KRISTA DR NE, ALBUQUERQUE, NM 87109-4824
(505) 377-2304
Mailing address
7504 KRISTA DR NE, ALBUQUERQUE, NM 87109-4824
(505) 377-2304
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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