Individual
JENNIFER A STOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1219
(505) 727-7800
Mailing address
1617 36TH ST SE, RIO RANCHO, NM 87124-1719
(810) 444-0110
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0716
NM
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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