ADRIEL IIRAM GAMBOA

ALBUQUERQUE, NM
NPI1609553205
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NM  2091)
Enumeration Date2023-07-05
Last Update Date2023-07-05
Business Address
ADRIEL IIRAM GAMBOA PTA
3830 COMMONS AVE NE
ALBUQUERQUE, NM 87109-5831
Phone number: 505-424-1239
Mailing Address
ADRIEL IIRAM GAMBOA PTA
PO BOX 33286
SANTA FE, NM 87594-3286
Phone number: 505-424-1239
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