Individual
JENNIFER TABAQUERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3620 WYOMING BLVD NE STE 219, ALBUQUERQUE, NM 87111-3289
(505) 717-1324
Mailing address
3620 WYOMING BLVD NE STE 219, ALBUQUERQUE, NM 87111-3289
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4056
NM
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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