Mary Rebecca Rylance, PA

NPI #1205979622 in T Or C, New Mexico

Provider Information

NPI Number: 1205979622
Entity Type: Individual
Name: Mary Rebecca Rylance, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Feb 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 992 S BROADWAY ST
City: T Or C
State: New Mexico
ZIP Code: 87901-3198
Phone: (505) 894-4275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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