Individual
MRS. PAULA A JONES-IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3 GEORGE CT, SUITE A, EDGEWOOD, NM 87015-9106
(505) 281-8463
(505) 281-8469
Mailing address
4 LOS PECOS TRL, TIJERAS, NM 87059-7893
(505) 281-3369
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1852
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08028079
—
NM
05
—
41385268
—
NM
Enumeration date
11/21/2006
Last updated
02/29/2008
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