Individual
JENIFER BARRERAS-KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3303 CHURCH ROCK ST, GALLUP, NM 87301-4505
(505) 870-5315
Mailing address
3303 CHURCH ROCK ST, GALLUP, NM 87301-4505
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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