Individual
GABRIELLE MAIRE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1986 CASTILLO DR SW, LOS LUNAS, NM 87031-8651
(505) 252-4789
Mailing address
1986 CASTILLO DR SW, LOS LUNAS, NM 87031-8651
(505) 252-4789
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/31/2024
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