Individual
CONNIE KAYE ANDAZOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 MARQUETTE AVE NW STE 1200, ALBUQUERQUE, NM 87102-5312
(855) 832-6727
Mailing address
6521 BARNHART ST NE, ALBUQUERQUE, NM 87109-4105
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
12/10/2020
Last updated
12/14/2020
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