Elicea Marie Coca
NPI #1902590482 in Peralta, New Mexico
Provider Information
- NPI Number
- 1902590482
- Entity Type
- Individual
- Name
- Elicea Marie Coca
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jun 7, 2023
- Last Updated
- Jun 7, 2023
Practice Location
- Address
- 5 VISTA DEL RIO
- City
- Peralta
- State
- New Mexico
- ZIP Code
- 87042-4801
- Phone
- (505) 301-2505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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