Individual
MISS LINDA BRIANA DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 CONITA REAL AVE SW, ALBUQUERQUE, NM 87105-4013
(505) 507-5943
Mailing address
1717 CONITA REAL AVE SW, ALBUQUERQUE, NM 87105-4013
(505) 507-5943
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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