AISA MALONZO TAGLE

RATON, NM
NPI1699336826
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NM  PT5029)
Enumeration Date2019-06-27
Last Update Date2019-06-27
Business Address
AISA MALONZO TAGLE PT
1660 HOSPITAL DR
RATON, NM 87740-2022
Phone number: 575-445-2734
Mailing Address
AISA MALONZO TAGLE PT
417 PECOS AVE
RATON, NM 87740-4161
Phone number: 575-707-8808