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Individual

CARMA PATTERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1400 SUDDERTH DR, RUIDOSO, NM 88345-6103
(505) 257-2368
(505) 257-2141
Mailing address
1400 SUDDERTH DR, RUIDOSO, NM 88345-6103
(505) 257-2368
(505) 257-2141

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
510
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89457
NM
Enumeration date
11/02/2006
Last updated
07/09/2007
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