Individual
SANTIAGO ZEPPELIN QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 JUDITH LN SW, ALBUQUERQUE, NM 87121-2238
(505) 569-4592
Mailing address
405 JUDITH LN SW, ALBUQUERQUE, NM 87121-2238
(505) 569-4592
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
519022575
NM
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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