Individual
MS. AZIA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6309 LOFTUS AVE NE, ALBUQUERQUE, NM 87109-2717
(505) 295-9411
Mailing address
6309 LOFTUS AVE NE, ALBUQUERQUE, NM 87109-2717
(505) 295-9411
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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