Individual
BLAINA LEE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5272 WYOMING BLVD NE APT D8, ALBUQUERQUE, NM 87111-7826
(618) 435-7212
Mailing address
5272 WYOMING BLVD NE APT D8, ALBUQUERQUE, NM 87111-7826
(618) 435-7212
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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