Individual
JAYCI SEREE PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3876 HAWKINS ST NE, ALBUQUERQUE, NM 87109-4539
(508) 508-0865
Mailing address
3876 HAWKINS ST NE, ALBUQUERQUE, NM 87109-4539
(505) 508-0865
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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