Individual
ELIZABETH HERMOSILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
94 BOX CANYON RD, CLIFF, NM 88028
(575) 535-2499
Mailing address
1321 E POPLAR ST, DEMING, NM 88030-4807
(575) 546-5951
(575) 546-5994
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3740
NM
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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