Individual
A SANVICTORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2905 MISSOURI AVE, LAS CRUCES, NM 88011-4813
(575) 522-0404
Mailing address
2905 MISSOURI AVE, LAS CRUCES, NM 88011-4813
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3840
NM
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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