Individual
SAMANTHA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 LEAD AVE SW APT 506, ALBUQUERQUE, NM 87102-3167
(831) 756-9677
Mailing address
611 LEAD AVE SW APT 506, ALBUQUERQUE, NM 87102-3167
(831) 756-9677
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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