VIRGINIA NICHOLLS ALDEA

DEMING, NM
NPI1912142316
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NM  2427)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: TX  111412)
Enumeration Date2008-12-14
Last Update Date2008-12-14
Business Address
Mrs. VIRGINIA NICHOLLS ALDEA OTR/L
111 N PEARL ST
DEMING, NM 88030-3835
Phone number: 575-544-4663
Mailing Address
Mrs. VIRGINIA NICHOLLS ALDEA OTR/L
3308 GILA CT
DEMING, NM 88030-8673
Phone number: 575-545-1913
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