Individual
ANA AMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 VEGA RD, SANDIA PARK, NM 87047-9400
(505) 670-8147
Mailing address
15 VEGA RD, SANDIA PARK, NM 87047-9400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3151
NM
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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