Individual provider · NPI-1

Alicia Jaramillo

Rehabilitation Practitioner · Albuquerque, NM

NPI number1003259805
StatusActive
Last updated in NPPESApr 25, 2014

Details

NPI
1003259805
Entity type
Individual (NPI-1)
Name
Ms. Alicia Jaramillo
Sex
Female
Sole proprietor
No
Enumeration date
Apr 10, 2013
Last updated
Apr 25, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner–NMYes

Practice location

2001 El Centro Familiar Blvd Sw
Albuquerque, NM 87105-4592

Phone 505-272-5546

Mailing address

2001 El Centro Familiar Blvd Sw
Albuquerque, NM 87105-4592

Phone 505-272-5546

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