Individual
MISS JESULLY ARELY MINJARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3200 PARKWAY RD # PD, BIG SPRING, TX 79720-6800
(575) 317-4346
Mailing address
25 FOREST DR, ROSWELL, NM 88203-2605
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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