Individual
FAYE RENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1509 UNIVERSITY BLVD NE, ALBUQUERQUE, NM 87102-1708
(505) 242-4656
(505) 242-4657
Mailing address
1509 UNIVERSITY BLVD NE, ALBUQUERQUE, NM 87102-1708
(505) 242-4656
(505) 242-4657
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
3191
NM
Other
Enumeration date
01/12/2015
Last updated
01/13/2015
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