Individual
JEWEL BUENAFE SUBLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
3720 CHURCH ROCK ST, GALLUP, NM 87301-4572
(505) 722-2261
Mailing address
1606 FREEDOM DR, GALLUP, NM 87301-6866
(505) 728-0539
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4082
NM
Other
Enumeration date
03/08/2020
Last updated
03/08/2020
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