Neerly Famous Inc

NPI 1073891347 - Physical Therapist - 225100000X

NPI Details
NPI 1073891347
Enumeration Date 08/03/2011
Last Updated 08/03/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name JOVELLA JOVELLA
Position PRESIDENT/OWNER/OPERATOR
Phone (505) 325-8360
Fax (505) 327-2424
Practice Location
2501 E 20TH ST.
SUITE #4
FARMINGTON NM, 87401-4448, US
Phone (505) 325-8360
Fax (505) 327-2424
Business Location
2501 E 20TH ST.
SUITE #4
FARMINGTON NM, 87401-4448, US
Phone (505) 325-8360
Fax (505) 327-2424
Toxanomy
Taxonomy Code 225100000X
License State New Mexico
License Number 4960
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According to our database, Neerly Famous Inc NPI is 1073891347, taxonomy code is 225100000X and license number is 4960, license state is located at New Mexico. Neerly Famous Inc physically located at 2501 E 20th St., Farmington NM, 87401-4448. NPI Number 1033115704 has the healthcare provider type.

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1073891347 NPI number is provided on an as is basis without warranty of any kind. 1073891347 is maintained by the National Plan & Provider Enumeration System. The contents of Neerly Famous Inc are for informational purposes only.