Individual
NICOLE HOFMEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT-R
Contact information
Practice address
1600 SUTTER PL, CLOVIS, NM 88101-4611
(575) 769-4476
(575) 769-4541
Mailing address
PO BOX 19000, CLOVIS, NM 88102-9000
(575) 769-4490
(575) 769-4541
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3444
NM
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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