Individual
ARIEL IVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
456 SANDSTONE DR NE, RIO RANCHO, NM 87124-4456
(505) 554-5119
Mailing address
456 SANDSTONE DR NE, RIO RANCHO, NM 87124-4456
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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