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Individual

ADRIAN ELOY AVITIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
205 ANNA MARIA PL SW, ALBUQUERQUE, NM 87105-6480
(505) 977-4948
Mailing address
205 ANNA MARIA PL SW, ALBUQUERQUE, NM 87105-6480
(505) 977-4948

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1625
NM

Other

Enumeration date
02/14/2019
Last updated
02/14/2019
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