Individual
ENA MARIE NIEMAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 S SCHWARTZ AVE, FARMINGTON, NM 87401-5955
(505) 609-2630
(505) 609-2630
Mailing address
PO BOX 419, FARMINGTON, NM 87499-0419
(505) 609-2630
(505) 327-6562
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/06/2007
Last updated
09/09/2008
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