Individual
MR. ZAE DIMAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10001 COORS BYP NW APT 2021, ALBUQUERQUE, NM 87114-4154
(505) 340-4910
Mailing address
10001 COORS BYP NW APT 2021, ALBUQUERQUE, NM 87114-4154
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3644
NM
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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