Individual
NOLA PAWOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2217 DILLON RD, CLOVIS, NM 88101-9454
(575) 769-7356
(575) 769-7289
Mailing address
2217 DILLON RD, CLOVIS, NM 88101-9454
(575) 769-7356
(575) 769-7289
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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