Individual
ELVIRA PAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
604 S RIO GRANDE AVE, AZTEC, NM 87410-2260
(505) 334-9616
(505) 334-7343
Mailing address
604 S RIO GRANDE AVE, AZTEC, NM 87410-2260
(505) 334-9616
(505) 334-7343
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0483
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-0483
STATE LICENSE NUMBER
NM
Enumeration date
12/06/2006
Last updated
07/08/2007
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