Individual
LYNDA JETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2216 LESTER DR NE, ALBUQUERQUE, NM 87112-2607
(505) 296-4808
Mailing address
10700 ACADEMY RD NE APT 1517, ALBUQUERQUE, NM 87111-7334
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0868
NM
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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