Keresoma Tialavea
NPI #1487185518 in Silver City, New Mexico
Provider Information
- NPI Number
- 1487185518
- Entity Type
- Individual
- Name
- Keresoma Tialavea
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Mar 21, 2017
- Last Updated
- Mar 21, 2017
Practice Location
- Address
- 1109 W COLLEGE AVE APT 2
- City
- Silver City
- State
- New Mexico
- ZIP Code
- 88061-4100
- Phone
- (415) 730-2365
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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