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Individual

JESSICA LEAH HAFNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
3530 PAN AMERICAN FWY NE STE D, ALBUQUERQUE, NM 87107-4793
(505) 888-4469
Mailing address
739B MOUNTAIN LAUREL CIR SE, ALBUQUERQUE, NM 87116-1248
(719) 314-8850

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT26037
CA
225X00000X
Occupational Therapist

Other

Enumeration date
05/20/2021
Last updated
06/28/2024
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