Individual
MR. JAN HOGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4516 ARROWHEAD RIDGE DR SE, RIO RANCHO, NM 87124
(505) 896-4978
Mailing address
4516 ARROWHEAD RIDGE DR SE, RIO RANCHO, NM 87124
(505) 896-4978
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
994
NM
Other
Enumeration date
01/03/2006
Last updated
10/14/2019
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