Most Relevant Information
Provider Data
| NPI Number: | 1003259805 |
| Provider Name: | ALICIA JARAMILLO |
| Entity Type: | Individual |
| Taxonomy Code: | 225400000X |
| Specialty: | Rehabilitation Practitioner |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/10/2013 |
| Last Updated: | 04/25/2014 |
Provider Practice Location
2001 EL CENTRO FAMILIAR BLVD SW
ALBUQUERQUE
NM
871054592
Practice Location Phone/Fax
| Phone: | 5052725546 |
| Fax: |
Provider Mailing Location
2001 EL CENTRO FAMILIAR BLVD SW
ALBUQUERQUE
NM
871054592
Provider Mailing Phone/Fax
| Phone: | 5052725546 |
| Fax: |