Individual
YAWEH ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1415 W 2ND ST, ROSWELL, NM 88201-2013
(575) 623-2615
(575) 622-6703
Mailing address
1415 W 2ND ST, ROSWELL, NM 88201-2013
(575) 623-2615
(575) 622-6703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5329
NM
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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