Individual
EMILIA CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2905 MISSOURI AVE, LAS CRUCES, NM 88011-4813
(575) 522-0404
Mailing address
2905 MISSOURI AVE, LAS CRUCES, NM 88011-4813
(575) 522-0404
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3536
NM
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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