Individual
JERICA MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2810 N SWAN ST, SILVER CITY, NM 88061-5853
(575) 956-2043
Mailing address
2810 N SWAN ST, SILVER CITY, NM 88061-5853
(575) 956-2043
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2977
NM
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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