OMAR VILLA

GALLUP, NM
NPI1760142038
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NM  OTA4506)
Enumeration Date2021-12-28
Last Update Date2021-12-28
Business Address
OMAR VILLA COTA
224 E NIZHONI BLVD
GALLUP, NM 87301-5744
Phone number: 505-863-9551
Mailing Address
OMAR VILLA COTA
224 E NIZHONI BLVD
GALLUP, NM 87301-5744
Phone number:
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