Individual
CAMI TALEAN UPTON HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2905 E. MISSOURI AVE., LAS CRUCES, NM 88011
(575) 522-0404
Mailing address
3051 QUANNAH WILD DR, LAS CRUCES, NM 88011-5271
(575) 313-2657
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2880
NM
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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