KRISTY JO ELLA EVANS

FARMINGTON, NM
NPI1033624218
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NM  3402)
Enumeration Date2017-12-09
Last Update Date2017-12-09
Business Address
KRISTY JO ELLA EVANS COTA
810 W MAPLE ST
FARMINGTON, NM 87401-5631
Phone number: 505-609-6013
Mailing Address
KRISTY JO ELLA EVANS COTA
2111 SCHOFIELD LN
FARMINGTON, NM 87401-2522
Phone number:
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