Individual
MISS JOHANNA PAZ MAMARIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.P.T.
Contact information
Practice address
2301 GOLF COURSE RD SE STE 245, RIO RANCHO, NM 87124-4971
(978) 618-7500
(760) 321-7277
Mailing address
2301 GOLF COURSE RD SE, RIO RANCHO, NM 87124-4971
(760) 321-7277
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5970
NM
225100000X
Physical Therapist
PT29464
CA
Other
Enumeration date
10/16/2006
Last updated
12/29/2021
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