SearchNew Mexico225200000X

Jaime Maldonado, PTA

NPI 1720590698 · on the registry since 2017

Practice

Address
204 E Logan Ave
Gallup, NM 87301
Phone
(505) 728-5060

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-10-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico