Individual
DANIEL TARANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
611 AGUA FRIA ST, SANTA FE, NM 87501-2509
(505) 316-1043
Mailing address
611 AGUA FRIA ST, SANTA FE, NM 87501-2509
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P18320
NC
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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