Individual
SHYLASHA SILVIA NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
52 ROAD 6406, KIRTLAND, NM 87417-9436
(505) 278-4541
Mailing address
1200 N WHITE SANDS BLVD STE 121, ALAMOGORDO, NM 88310-6774
(866) 273-2451
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/15/2020
Last updated
06/22/2021
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