GRACE PONTO

PORTALES, NM
NPI1528539673
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NM  PTA1371)
Enumeration Date2018-12-16
Last Update Date2018-12-16
Business Address
GRACE PONTO PTA
1604 W 18TH ST
PORTALES, NM 88130-7097
Phone number: 575-359-4719
Mailing Address
GRACE PONTO PTA
1604 W 18TH ST
PORTALES, NM 88130-7097
Phone number: 575-359-4719
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