Angie Ibarra Polania

NPI #1306618178 in Santa Teresa, New Mexico

Provider Information

NPI Number
1306618178
Entity Type
Individual
Name
Angie Ibarra Polania
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Oct 25, 2023
Last Updated
Oct 25, 2023

Practice Location

Address
1255 COUNTRY CLUB RD
ZIP Code
88008-9707
Phone
(575) 288-1881

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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