Mary Patricia Willms

NPI #1710174420 in Espanola, New Mexico

Provider Information

NPI Number: 1710174420
Entity Type: Individual
Name: Mary Patricia Willms
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Enumeration Date: Sep 26, 2007
Last Updated: Sep 26, 2007

Practice Location

Address: 620 CORONADO ST.
City: Espanola
State: New Mexico
ZIP Code: 87532
Phone: (505) 753-7395

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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