Individual
BRYNE T PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3550 OLD AIRPORT RD NW APT 2409, ALBUQUERQUE, NM 87114-9291
(575) 626-0382
Mailing address
3550 OLD AIRPORT RD NW APT 2409, ALBUQUERQUE, NM 87114-9291
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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