Individual
JETT GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
10899 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-3926
(505) 460-7103
Mailing address
10899 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-3926
(505) 460-7103
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1114708054
NM
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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