Individual
GELSEY DIANA ORELLANA-LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6805 ESTHER AVE NE # ME, ALBUQUERQUE, NM 87109-3728
(505) 810-6207
Mailing address
6805 ESTHER AVE NE # ME, ALBUQUERQUE, NM 87109-3728
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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