Individual
MS. LESLEY M MAGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
SW REGIONAL ED CENTER #10, ANIMAS, NM 88020
(575) 555-5555
Mailing address
2591 SUNLAND AVE, LAS CRUCES, NM 88012-8312
(575) 373-3145
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2021
NM
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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