Individual
JULIE ROSE JARAMILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
325 N BERGIN LN, BLOOMFIELD, NM 87413-6729
(505) 632-4333
(505) 634-3675
Mailing address
413 N FRONTIER ST, BLOOMFIELD, NM 87413-5529
(505) 634-3619
(505) 634-3675
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A291
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64434826
—
NM
Enumeration date
05/21/2007
Last updated
07/09/2007
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