Individual
ELISABETH DURBANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 CAMINO DON TOMAS, BERNALILLO, NM 87004-9101
(505) 867-3396
(505) 867-3398
Mailing address
PO BOX 788, BERNALILLO, NM 87004-0788
(505) 867-3396
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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