Individual
KRYSTAL S HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2217 RALPH BOONE, CLOVIS, NM 88101-9016
(254) 383-6128
Mailing address
2217 RALPH BOONE, CLOVIS, NM 88101-9016
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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