Organization
ANIMAS VALLEY BACK CENRTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF MOSLEY (OWNER)
(505) 402-5020
Entity
Organization
Contact information
Practice address
2700 FARMINGTON AVE, BLDG. F., FARMINGTON, NM 87401-4559
(505) 325-3381
Mailing address
2700 FARMINGTON AVE, BLDG. F., FARMINGTON, NM 87401-4559
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
97-111
NM
Other
Enumeration date
01/04/2007
Last updated
08/22/2020
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