Individual
IDALIA TREJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 E MAIN ST, LINCOLNTON, NC 28092-3449
(704) 748-0616
Mailing address
2079 BISON TRL, MAIDEN, NC 28650-8567
(704) 308-2383
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
05/17/2025
Last updated
05/17/2025
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