Individual
MRS. KATIE JIRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT DPT
Contact information
Practice address
325 S MAIN ST STE A, BELEN, NM 87002
(505) 321-5371
Mailing address
412 VALLEJOS RD NE, LOS LUNAS, NM 87031-7774
(505) 321-5371
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4515
NM
Other
Enumeration date
01/19/2017
Last updated
05/14/2018
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