Individual
MS. FERNANDA BEJARANO MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
408 N CANYON ST, CARLSBAD, NM 88220-5812
(505) 234-3300
(505) 234-3367
Mailing address
2405 AVENUE C, CARLSBAD, NM 88220-3148
(505) 885-5606
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2099
NM
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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