Individual
MS. HEATHER LYNN PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 N CALIFORNIA AVE, SILVER CITY, NM 88061-3604
(573) 220-4504
Mailing address
230 N CALIFORNIA AVE, SILVER CITY, NM 88061-3604
(573) 220-4504
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/10/2017
Last updated
07/21/2022
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