Individual
DESIRAE KALIE MESTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 GIBSON BLVD SE APT 2058, ALBUQUERQUE, NM 87106-3366
(505) 692-3719
Mailing address
1801 GIBSON BLVD SE APT 2058, ALBUQUERQUE, NM 87106-3366
(505) 692-3719
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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