Individual
MARISOL SELENA BRIONEZ-WOOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 YALE BLVD SE, ALBUQUERQUE, NM 87106-4228
(505) 385-8028
Mailing address
2301 YALE BLVD SE, ALBUQUERQUE, NM 87106-4228
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT22028
NM
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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