Individual
MR. MARK JARAMILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 LUNA AVE SE, LOS LUNAS, NM 87031-6814
(505) 865-9636
Mailing address
50 ANDRES SANCHEZ RD, BELEN, NM 87002-8193
(505) 859-2057
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3652
NM
Other
Enumeration date
01/18/2017
Last updated
08/08/2025
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