Individual
MS. JANIS JEAN SAUCEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5201 ROMA AVE NE, ALBUQUERQUE, NM 87108-1334
(505) 262-2311
Mailing address
1656 BOSQUE VISTA LOOP NW, LOS LUNAS, NM 87031-8322
(505) 565-1651
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1441
NM
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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