Individual
JANA ELAINE CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 WILDY DR, ROSWELL, NM 88203-2620
(575) 420-0551
Mailing address
4 WILDY DR, ROSWELL, NM 88203-2620
(575) 420-0551
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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