Individual
JASMINE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 E 30TH ST STE A, FARMINGTON, NM 87401-9040
(505) 943-0022
Mailing address
3100 SULLIVAN AVE, FARMINGTON, NM 87401-2017
(505) 486-1804
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1465
NM
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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