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NERY OLIVAS

Behavioral Analyst

Espanola, New Mexico

Provider NPI: 1326373325

Provider Information:
 NERY  OLIVAS 
Gender: F
Not Sole Proprietor

Practice Location:
404 HUNTER ST  ESPANOLA, NM 87532 US
Tel: 505-753-4123  Fax: 505-753-6947

Business Mailing Address:
404 HUNTER ST  ESPANOLA, NM 87532 US
Tel: 505-753-4123  Fax: 505-753-6947

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103K00000X


Other Provider Identifiers:

IssuerNumberStateType
E7436NM05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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