Individual
MRS. MARISSA OLIVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8200 DRIPPING SPRINGS RD, LAS CRUCES, NM 88011-5064
(575) 522-1890
Mailing address
8200 DRIPPING SPRINGS RD, LAS CRUCES, NM 88011-5064
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/11/2020
Last updated
04/11/2020
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