Individual
MIQUELLA T CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6350 EUBANK BLVD NE APT 625, ALBUQUERQUE, NM 87111-7353
(505) 484-9368
Mailing address
6350 EUBANK BLVD NE APT 625, ALBUQUERQUE, NM 87111-7353
(505) 484-9368
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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