Individual
JESSICA ADKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2221 DILLON RD, CLOVIS, NM 88101-9454
(575) 762-4495
Mailing address
1412 S GLOBE AVE, PORTALES, NM 88130-6922
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0898
NM
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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