LIBERTY JAVENIA ANG

GALLUP, NM
NPI1306962428
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NM  3162)
Enumeration Date2007-03-21
Last Update Date2007-07-08
Business Address
Mrs. LIBERTY JAVENIA ANG P.T.
1000 E AZTEC AVE
GALLUP, NM 87301-5509
Phone number: 505-721-1839
Mailing Address
Mrs. LIBERTY JAVENIA ANG P.T.
1905 MERRITT
GALLUP, NM 87301-4808
Phone number: 505-409-8290