Tialavea, Keresoma
Tialavea, Keresoma is an sole proprietor health care provider with primary practice located at 1109 W College Ave Apt 2 , Silver City NM 88061-4100. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Tialavea, Keresoma can be contacted via phone (415) 730-2365.Contact Information
Primary practice address
1109 W College Ave Apt 2
Silver City NM 88061-4100
Phone: (415) 730-2365
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1487185518 |
|---|---|
| LBN Legal business name | Tialavea, Keresoma |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2017 |
| Last updated | Mar 21st, 2017 - about 7 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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