| Mary Patricia Willms, | |
|
620 Coronado St., Espanola, NM 87532 | |
| (505) 753-7395 | |
| Not Available |
| Full Name | Mary Patricia Willms |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 620 Coronado St., Espanola, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710174420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD-0659 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Patricia Willms, 2185 44th St, Apt. D, Los Alamos, NM 87544-1750 Ph: (505) 662-9843 | Mary Patricia Willms, 620 Coronado St., Espanola, NM 87532 Ph: (505) 753-7395 |
Angela Borrego, RD Dietitian Medicare: Medicare Enrolled Practice Location: 748a Brown St, Espanola, NM 87532 Phone: 505-927-7282 | |
Wendy Fisher, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-367-0365 Fax: 505-367-0362 |