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Individual

EUNICE ESPARZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
405 N DATE ST, SUITE 8, TRUTH OR CONSEQUENCES, NM 87901-2377
(575) 894-7589
(575) 894-7584
Mailing address
405 N DATE ST, SUITE 8, TRUTH OR CONSEQUENCES, NM 87901-2377
(575) 894-7589
(575) 894-7584

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
796
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
796
NM STATE OT LICENSE
NM
Enumeration date
04/17/2014
Last updated
04/17/2014
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