JOSEPH ANTOHNY ILLIDGE

ALBUQUERQUE, NM
NPI1336804731
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2021-11-01
Last Update Date2021-11-01
Business Address
JOSEPH ANTOHNY ILLIDGE
3405 CHERAZ RD NE
ALBUQUERQUE, NM 87111-4638
Phone number: 703-398-5019
Mailing Address
JOSEPH ANTOHNY ILLIDGE
3405 CHERAZ RD NE
ALBUQUERQUE, NM 87111-4638
Phone number: 703-398-5019
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