Jaleela Nicole Smith PTA

NPI 1326227141 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1326227141
Gender Female
Enumeration Date 10/29/2007
Last Updated 10/29/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
801 W MAPLE ST
FARMINGTON NM, 87401-5630, US
Phone (505) 325-2511
Fax
Business Location
801 W MAPLE ST
FARMINGTON NM, 87401-5630, US
Phone (505) 325-2511
Fax
Toxanomy
Taxonomy Code 225200000X
License State New Mexico
License Number A-0493
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According to our database, Ms. Jaleela Nicole Smith PTA NPI is 1326227141, taxonomy code is 225200000X and license number is A-0493, license state is located at New Mexico. Jaleela Nicole Smith PTA physically located at 801 W Maple St, Farmington NM, 87401-5630. NPI Number Jaleela Nicole Smith PTA has the Individual type.

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1326227141 NPI number is provided on an as is basis without warranty of any kind. 1326227141 is maintained by the National Plan & Provider Enumeration System. The contents of Jaleela Nicole Smith PTA are for informational purposes only.