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Contact Information

KRYSTINA R CARVISO
2025 E AZTEC AVE
GALLUP, NM87301-4803
 Phone: 505-863-3828
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for KRYSTINA R CARVISO · (Female)

NPI Number 1831607506
Status Active
Credentials
Entity Individual
Enumeration date 01/17/2018
Last updated 11/15/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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