Individual
MISS CARLEY JEAN HENDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 ELM ST. NE, ALBUQUERQUE, NM 87102
(505) 727-3603
Mailing address
6505 MARTIN CT NE, ALBUQUERQUE, NM 87109
(505) 450-4699
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-1212
NM
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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