Individual
JENNIFFER JEAN MUSONG AUXTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2029 IVEY ST, PECOS, TX 79772-6320
(908) 210-5030
Mailing address
2029 IVEY ST, PECOS, TX 79772-6320
(908) 210-5030
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2134992
TX
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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