KRYSTINA RENAE CARVISO

GALLUP, NM
NPI1831607506
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251B00000X Case Management
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2018-01-17
Last Update Date2022-11-15
Business Address
KRYSTINA RENAE CARVISO
2025 E AZTEC AVE
GALLUP, NM 87301-4803
Phone number: 505-863-3828
Mailing Address
KRYSTINA RENAE CARVISO
PO BOX 594
WINDOW ROCK, AZ 86515-0594
Phone number: 602-525-5310