Individual
EMILY ANN TROLLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 DULCE RD, SANTA FE, NM 87508-8283
(505) 699-5894
Mailing address
14 DULCE RD, SANTA FE, NM 87508-8283
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R57938392
BLUE CROSS BLUE SHIELD
NM
Enumeration date
02/02/2017
Last updated
02/02/2017
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