Individual
MACKIE SAAVEDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 HIGHWAY 109, JARALES, NM 87023
(505) 604-7999
Mailing address
PO BOX 337, JARALES, NM 87023-0337
(505) 604-7999
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1623
NM
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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