Individual
RENEE R ADKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 N NORRIS ST, CLOVIS, NM 88101-9329
(575) 769-4485
Mailing address
3017 SHERIDAN ST, CLOVIS, NM 88101-5126
(575) 219-1457
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-27507
NM
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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