Individual
ANGELA ACOSTA CARRASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
52 CARLOS MARTINEZ RD, VEGUITA, NM 87062
(505) 288-9196
Mailing address
PO BOX 154, VEGUITA, NM 87062-0154
(505) 288-9196
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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