LIZA BLACK

EDGEWOOD, NM
NPI1972049153
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NM  2936)
Enumeration Date2017-01-12
Last Update Date2017-01-12
Business Address
-- LIZA BLACK
1 LINNIE COURT
EDGEWOOD, NM 87015
Phone number: 505-268-7838
Mailing Address
-- LIZA BLACK
8904 ARMISTICE RD NE
ALBUQUERQUE, NM 87109-5140
Phone number:
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