MARY L GRAHAM

MESCALERO, NM
NPI1285078410
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NM  A-280)
Enumeration Date2013-04-18
Last Update Date2013-04-18
Business Address
-- MARY L GRAHAM
454 LIPAN AVE
MESCALERO, NM 88340
Phone number: 575-464-4802
Mailing Address
-- MARY L GRAHAM
454 LIPAN AVE
MESCALERO, NM 88340
Phone number: