Histia, Alicia Dawn

Histia, Alicia Dawn is an individual health care provider with primary practice located at 47 Pinsbaari , Pueblo Of Acoma NM 87034. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Histia, Alicia Dawn can be contacted via phone (505) 552-5145.

Contact Information

Primary practice address
47 Pinsbaari Pueblo Of Acoma NM 87034
Phone: (505) 552-5145
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1407567944
LBN Legal business name Histia, Alicia Dawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2022
Last updated Dec 6th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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