Individual
IRERI GUADALUPE DEL RIO-CHACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
18 W WASHINGTON AVE, LOVINGTON, NM 88260-4023
(575) 739-2200
Mailing address
140 SLOAN AVE, DEXTER, NM 88230-9737
(575) 815-8500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA3934
NM
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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