Individual
BRISA NEY RUIZ I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2695 EL BORDO RD SE, DEMING, NM 88030-2162
(575) 494-0262
Mailing address
2695 EL BORDO RD SE, DEMING, NM 88030-2162
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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