Individual
HYRAM MICHAEL MERRIL PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7000 PROSPECT PL NE, ALBUQUERQUE, NM 87110-4359
(505) 389-8346
Mailing address
7000 PROSPECT PL NE, ALBUQUERQUE, NM 87110-4359
(505) 389-8346
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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