Individual
AMANDA VALDIVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 ALCANO CIR NE, RIO RANCHO, NM 87124-3894
(720) 485-1404
Mailing address
409 ALCANO CIR NE, RIO RANCHO, NM 87124-3894
(720) 485-1404
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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