BRANDON JACOB DAUGHERTY

RIO RANCHO, NM
NPI1083482731
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2023-12-12
Last Update Date2023-12-18
Business Address
BRANDON JACOB DAUGHERTY
4210 MEADOWLARK LN SE
RIO RANCHO, NM 87124-1021
Phone number: 505-560-9355
Mailing Address
BRANDON JACOB DAUGHERTY
4210 MEADOWLARK LN SE
RIO RANCHO, NM 87124-1021
Phone number: 505-560-9355
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