Myrna A De Santiago

NPI #1184197261 in Sunland Park, New Mexico

Provider Information

NPI Number: 1184197261
Entity Type: Individual
Name: Myrna A De Santiago
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 10, 2019
Last Updated: Jan 10, 2019

Practice Location

Address: 113 LUNA DR
City: Sunland Park
State: New Mexico
ZIP Code: 88063-9299
Phone: (915) 892-3763

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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