Individual
ANNIE AYZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2844 E MAIN ST STE 106, FARMINGTON, NM 87402-7628
(720) 837-2348
Mailing address
PO BOX 271690, LOUISVILLE, CO 80027-5035
(720) 837-2348
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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