Individual
ALEXIS ENEVOLDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3817 CONSTITUTION DR, EL PASO, TX 79922-1367
(915) 226-0367
Mailing address
3817 CONSTITUTION DR, EL PASO, TX 79922-1367
(915) 226-0367
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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