Individual
BEATRICE DAWN VALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SAGEBRUSH ST SW, ALBUQUERQUE, NM 87105-3942
(505) 554-5741
Mailing address
1 SAGEBRUSH ST SW, ALBUQUERQUE, NM 87105-3942
(505) 554-5741
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
Primary
S3-154
NM
Other
Enumeration date
02/21/2023
Last updated
11/27/2024
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