Individual
EVA KELTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 DOUGLAS AVE, LAS VEGAS, NM 87701-3947
(505) 617-1180
(505) 372-0690
Mailing address
710 DOUGLAS AVE, LAS VEGAS, NM 87701-3947
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SWB-2023-0997
NM
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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