Individual
ANTHONY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 E NIZHONI BLVD APT D3, GALLUP, NM 87301-5763
(505) 458-8171
Mailing address
222 E NIZHONI BLVD APT D3, GALLUP, NM 87301-5763
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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