Polibia A Hernandez Rodriguez

NPI #1962992065 in Clovis, New Mexico

Provider Information

NPI Number: 1962992065
Entity Type: Individual
Name: Polibia A Hernandez Rodriguez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 14, 2018
Last Updated: Sep 27, 2018

Practice Location

Address: 2100 FRED DAUGHERTY AVE
City: Clovis
State: New Mexico
ZIP Code: 88101-8606
Phone: (862) 232-3620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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