Individual
MIREYA ALLEN HASLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
239 ELM ST NE, CROSSROADS FOR WOMEN, ALBUQUERQUE, NM 87102
(505) 242-1010
(505) 242-1551
Mailing address
239 ELM ST NE, CROSSROADS FOR WOMEN, ALBUQUERQUE, NM 87102
(505) 242-1010
(505) 242-1551
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MI
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
NM
Other
Enumeration date
01/28/2019
Last updated
04/27/2023
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