Jamie Rene Fairres

NPI #1992204283 in Roswell, New Mexico

Provider Information

NPI Number
1992204283
Entity Type
Individual
Name
Jamie Rene Fairres
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Feb 1, 2018
Last Updated
Feb 1, 2018

Practice Location

Address
3202 W BLAND ST
ZIP Code
88203-1279
Phone
(575) 317-0941

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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