Individual
HEATHER NICOLE CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
1600 SUTTER PL, CLOVIS, NM 88101-4611
(505) 769-4490
(505) 935-0011
Mailing address
400 MONTICELLO PARKWAY DR, PORTALES, NM 88130-9273
(505) 693-8190
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1525
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19325312
—
NM
Enumeration date
11/06/2006
Last updated
07/08/2007
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