Individual
MRS. SAMANTHA LYNN NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
271 SOLITUDE AVE SW, LOS LUNAS, NM 87031-6419
(505) 362-5062
Mailing address
271 SOLITUDE AVE SW, LOS LUNAS, NM 87031-6419
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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