Individual
MARI ROSE LONGPRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 N ROADRUNNER PKWY, LAS CRUCES, NM 88011-7019
(800) 967-4667
Mailing address
2713 WINSTON AVE, LAS CRUCES, NM 88005-1322
(970) 222-5861
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4712
NM
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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