Individual
PATRICIA-DESIREE PIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3311 CANDELARIA RD NE STE C, ALBUQUERQUE, NM 87107-1952
(505) 255-1100
(866) 848-6905
Mailing address
2410 VENETIAN WAY SW, ALBUQUERQUE, NM 87105-7236
(505) 610-7020
(866) 848-6905
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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