Individual
JONATHAN ESQUIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
119 LUNA AVE SE, LOS LUNAS, NM 87031-6814
(505) 866-2440
Mailing address
2062 VISTA HILL NORTH LOOP, LOS LUNAS, NM 87031-8906
(505) 459-8169
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5953
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT5953
PHYSICAL THERAPY LICENSE
NM
Enumeration date
08/02/2022
Last updated
08/02/2022
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