Individual
RAJENA CLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5006 COPPER AVE NE, ALBUQUERQUE, NM 87108-1301
(505) 268-7988
(505) 268-8021
Mailing address
5006 COPPER AVE NE, ALBUQUERQUE, NM 87108-1301
(505) 268-7988
(505) 268-8021
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2416
NM
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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