Individual
MARLAYNA OLIVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1811 DONA ANA RD SE, DEMING, NM 88030-7208
(575) 543-5357
Mailing address
1811 DONA ANA RD SE, DEMING, NM 88030-7208
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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