Individual
CARYL VENTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 HUTTON AVE, FARMINGTON, NM 87402-4560
(505) 215-0179
Mailing address
218 N ALLEN AVE APT UNIT15, FARMINGTON, NM 87401-6206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1228450
TX
225100000X
Physical Therapist
Primary
4452
NM
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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