Individual
DEANNA L ROYBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 E LINCOLN ST, LAS VEGAS, NM 87701-4502
(505) 426-8095
(505) 426-8095
Mailing address
615 E LINCOLN ST, LAS VEGAS, NM 87701-4502
(505) 426-8095
(505) 426-8095
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0389
NM
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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