JAIME RICARDO MALDONADO

GALLUP, NM
NPI1720590698
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NM  A-305)
Enumeration Date2017-10-31
Last Update Date2017-10-31
Business Address
Mr. JAIME RICARDO MALDONADO PTA
204 E LOGAN AVE
GALLUP, NM 87301-6134
Phone number: 505-728-5060
Mailing Address
Mr. JAIME RICARDO MALDONADO PTA
1000 E AZTEC AVE
GALLUP, NM 87301-5509
Phone number: 505-721-1865
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