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Russell Smith

Day Training/Habilitation Specialist in Albuquerque, NM. Individual provider (NPI-1).

NPI number1063824522
StatusActive
Last updated in NPPESJun 2, 2014

Details

NPI
1063824522
Entity type
Individual (NPI-1)
Name
Russell Smith
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 2, 2014
Last updated
Jun 2, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist––Yes

Practice location

8920 Holly Ave Ne
Albuquerque, NM 87122-2988

Phone 505-379-1550

Mailing address

8920 Holly Ave Ne
Albuquerque, NM 87122-2988

Phone 505-379-1550

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