Individual
MENALYN BALANCIO JABONETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT/L
Contact information
Practice address
1005 LUJAN HILL RD, LAS CRUCES, NM 88007-6304
(505) 523-4573
Mailing address
2330 NEVADA AVE APT 506, LAS CRUCES, NM 88001-1417
(505) 639-3338
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206337
VA
225100000X
Physical Therapist
3340
NM
225100000X
Physical Therapist
36897
CA
Other
Enumeration date
07/12/2007
Last updated
11/07/2019
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