Individual
SELENA ANN HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
511 SUNBEAM AVE, ALAMOGORDO, NM 88310-4168
(575) 415-9241
Mailing address
511 SUNBEAM AVE, ALAMOGORDO, NM 88310-4168
(575) 415-9241
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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