Leon Deherrera
NPI #1932796976 in Gallup, New Mexico
Provider Information
- NPI Number
- 1932796976
- Entity Type
- Individual
- Name
- Leon Deherrera
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Dec 23, 2020
- Last Updated
- Dec 23, 2020
Practice Location
- Address
- 306 E NIZHONI BLVD
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-5794
- Phone
- (505) 863-9551
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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