Individual
ELIJAH KENNETH PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6800 VISTA DEL SOL DR NW, ALBUQUERQUE, NM 87120-3299
(760) 815-0568
Mailing address
6800 VISTA DEL SOL DR NW, ALBUQUERQUE, NM 87120-3299
(760) 815-0568
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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