Individual
DONNA GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 NANCY LOPEZ DR, CLOVIS, NM 88101-3176
(505) 353-0236
Mailing address
3800 NANCY LOPEZ DR, CLOVIS, NM 88101-3176
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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