Individual
MATTHEW R QUIMAYOUSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3610 BUCKSKIN LOOP NE, RIO RANCHO, NM 87144-1423
(505) 236-6918
Mailing address
3610 BUCKSKIN LOOP NE, RIO RANCHO, NM 87144-1423
(505) 236-6918
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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