Individual
MRS. ALEJANDRA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
69 BENT TREE RD, ROSWELL, NM 88201-9539
(575) 551-8193
Mailing address
69 BENT TREE RD, ROSWELL, NM 88201-9539
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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