NPI 1710174420

Mary Patricia Willms

Practitioner Registered Dietitian Espanola, NM

Practice location

Address: 620 Coronado St., Espanola, NM 87532
Phone: (505) 753-7395
Mailing address: 2185 44th St APT. D, Los Alamos, NM 87544-1750

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence LD-0659 (NM)

Other Dietitian, Registered providers in New Mexico →

Registry record

NPI: 1710174420
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2007
Record last updated: 26 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.