Individual
CARNELL D HORN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
44 PASEO ENCANTADO SW, SANTA FE, NM 87506
(469) 474-4800
Mailing address
174 TESUQUE VILLAGE RD UNIT 406, TESUQUE, NM 87574-2017
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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