Individual
NISU SALVIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 ELM ST NE, ALBUQUERQUE, NM 87102-2500
(505) 727-4725
Mailing address
9109 RIALTO AVE SW, ALBUQUERQUE, NM 87121-4300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3911
NM
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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