Individual
KALISTA GARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
504 BROOKDALE DR, ALAMOGORDO, NM 88310-7206
(575) 635-2798
Mailing address
504 BROOKDALE DR, ALAMOGORDO, NM 88310-7206
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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