Individual
PEARL ANGELINE TONGOL MAGLAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 E 21ST ST, SUITE 6, CLOVIS, NM 88101-4442
(970) 854-2251
Mailing address
1920 OLD SPRINGVILLE RD, CENTER POINT, AL 35215-5858
(205) 520-9600
(205) 520-0455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.017700
IL
Other
Enumeration date
01/17/2011
Last updated
01/17/2011
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