Individual
JAMAL ANTIONE HUTCHERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6000 CORTADERIA ST NE APT 5104, ALBUQUERQUE, NM 87111-8007
(469) 245-4597
Mailing address
6000 CORTADERIA ST NE APT 5104, ALBUQUERQUE, NM 87111-8007
(469) 245-4597
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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