Individual
RYAN JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 LUNA ST SE, LOS LUNAS, NM 87031-6814
(505) 866-8241
Mailing address
2300 DIAMOND MESA TRL SW APT 3706, ALBUQUERQUE, NM 87121-3726
(770) 841-2985
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3671
NM
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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