Raquel White

NPI #1376091009 in Edgewood, New Mexico

Provider Information

NPI Number: 1376091009
Entity Type: Individual
Name: Raquel White
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Sep 11, 2016
Last Updated: Jul 31, 2019

Practice Location

Address: 38 ABAJO DR
City: Edgewood
State: New Mexico
ZIP Code: 87015-8700
Phone: (725) 244-0368

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Technician, Other	247200000X	Primary

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