Individual
FELISHA MAESTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1271 POPAY AVE., OHKAY OWINGEH, NM 87566
(505) 901-1871
Mailing address
1271 POPAY AVE., OHKAY OWINGEH, NM 87566
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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