Individual
DIANA ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 SAMANTHA CT, PERALTA, NM 87042-8800
(626) 693-1194
Mailing address
16 SAMANTHA CT, PERALTA, NM 87042-8800
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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