Individual
SHRILLIA JEANICE LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 E 19TH ST, ROSWELL, NM 88201-5151
(575) 625-3372
(575) 625-3303
Mailing address
117 E 19TH ST, ROSWELL, NM 88201-5151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3956
NM
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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