Individual
PATRICIA ARIELLE CORPUZ MANIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2400 UNSER BLVD SE, RIO RANCHO, NM 87124-3392
(505) 559-6100
(505) 253-1201
Mailing address
PO BOX 26666, ALBUQUERQUE, NM 87125-6666
(505) 253-1731
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2024-0127
NM
Other
Enumeration date
12/05/2023
Last updated
05/08/2025
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