Individual
JASON CARLOS SEDILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
535 HWY 314 SW, LOS LUNAS, NM 87031-9600
(505) 866-0055
Mailing address
535 HWY 314 SW, LOS LUNAS, NM 87031-9600
(505) 866-0055
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5121
NM
Other
Enumeration date
08/10/2017
Last updated
07/21/2022
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