Individual
MS. TALLETHEA R MOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACH.
Contact information
Practice address
301 S AUBURN AVE, FARMINGTON, NM 87401-5737
(505) 564-8563
(505) 327-3144
Mailing address
301 S AUBURN AVE, FARMINGTON, NM 87401-5737
(505) 564-8563
(505) 327-3144
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2752
NM
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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