Individual
CAROLYN PAGANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 2ND ST SW, RIO RANCHO, NM 87124-2692
(505) 903-4558
Mailing address
500 2ND ST SW, RIO RANCHO, NM 87124-2692
(505) 903-4558
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2206
NM
Other
Enumeration date
04/02/2017
Last updated
04/02/2017
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