Individual
MARLON HEKKING LUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1400A E 20TH ST, FARMINGTON, NM 87401-9024
(505) 599-8617
Mailing address
1400A E 20TH ST, FARMINGTON, NM 87401-9024
(505) 599-8617
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
372390
NM
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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