Individual
TRISTEM DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 WYATT DR, LAS CRUCES, NM 88005-2925
(575) 652-3155
Mailing address
120 WYATT DR, LAS CRUCES, NM 88005-2925
(575) 652-3155
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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