Individual
JOVITA R TIESO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P. T.
Contact information
Practice address
5460 INSPIRATION LN, LAS CRUCES, NM 88011-6946
(505) 382-8939
Mailing address
5460 INSPIRATION LN, LAS CRUCES, NM 88011-6946
(505) 382-8939
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1334
NM
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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