Individual
JONATHAN JOSE LUIS GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 N REID ST, CLOVIS, NM 88101-7263
(575) 799-0820
Mailing address
500 N REID ST, CLOVIS, NM 88101-7263
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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