Individual
ZAYPEE KOHLENE PASCUAL LAYUGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
345 BASILIO DR, GALLUP, NM 87301-8730
(505) 721-4000
Mailing address
508 S FORD DR, GALLUP, NM 87301-5410
(505) 236-3711
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1777
NM
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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