Individual
MONIQUE SUSAN ROYBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7733 BLACK MESA LOOP SW, ALBUQUERQUE, NM 87105-7309
(505) 203-7616
Mailing address
7733 BLACK MESA LOOP SW, ALBUQUERQUE, NM 87105-7309
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
08/11/2017
Last updated
08/11/2017
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