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Individual

CASSANDRA R TAPIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
811 LOUANNE LN NW, ALBUQUERQUE, NM 87114-8800
(505) 515-1063
Mailing address
811 LOUANNE LN NW, ALBUQUERQUE, NM 87114-8800
(505) 515-1063

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
NM

Other

Enumeration date
05/01/2019
Last updated
05/01/2019
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