Individual
MR. PATRICK MNCUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
306 E NIZHONI BLVD, GALLUP, NM 87301-5794
(505) 863-9551
Mailing address
12727 TOMLINSON DR SE, ALBUQUERQUE, NM 87123-3715
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1333
NM
Other
Enumeration date
05/29/2007
Last updated
05/06/2018
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