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Individual

EMMARUTH BAUTISTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2330 NEVADA AVE APT 110, LAS CRUCES, NM 88001-1414
(954) 551-0452
Mailing address
2330 NEVADA AVE APT 110, LAS CRUCES, NM 88001-1414
(954) 551-0452

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4649
NM

Other

Enumeration date
01/10/2017
Last updated
01/10/2017
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