Individual
JESSICA BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9109 SANTA LUCIA AVE NE, ALBUQUERQUE, NM 87122-2699
(505) 690-9817
Mailing address
9109 SANTA LUCIA AVE NE, ALBUQUERQUE, NM 87122-2699
(505) 690-9817
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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