JENNIFER SUE FAUST

PORTALES, NM
NPI1497887202
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NM  1581)
Enumeration Date2007-03-09
Last Update Date2007-07-08
Business Address
-- JENNIFER SUE FAUST COTA
463 S ROOSEVELT ROAD O
PORTALES, NM 88130-9676
Phone number: 505-760-6691
Mailing Address
-- JENNIFER SUE FAUST COTA
463 S ROOSEVELT ROAD O
PORTALES, NM 88130-9676
Phone number:
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