Individual
ALLISON ARDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
#653 CR 6100, FRUITLAND, NM 87416
(503) 422-6179
Mailing address
PO BOX 2184, FRUITLAND, NM 87416-2184
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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