Individual
MARYGRACE ARTILLAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2884 N ROADRUNNER PKWY, LAS CRUCES, NM 88011-0853
(512) 429-8151
Mailing address
2884 N ROADRUNNER PKWY, LAS CRUCES, NM 88011-0853
(512) 429-8151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4407
NM
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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