Individual
MR. ALEXANDER ROSS IRISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 SUNSET ST APT 3, SANTA FE, NM 87501-2493
(505) 570-0951
Mailing address
420 SUNSET ST APT 3, SANTA FE, NM 87501-2493
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/20/2017
Last updated
08/20/2017
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