Individual
ALICIA B ESPARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
414 SIPAPU ST, TAOS, NM 87571-6498
(575) 758-8761
(575) 758-8761
Mailing address
6955 NDCBU, TAOS, NM 87571-6242
(575) 758-8761
(575) 758-8761
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3548
NM
Other
Enumeration date
09/06/2006
Last updated
06/25/2013
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