Organization
RESTORATIVE MEDICAL MASSAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRIE CALL (OWNER/LMT)
(505) 366-9536
Entity
Organization
Contact information
Practice address
6801 CALLE LAGUNA NE, ALBUQUERQUE, NM 87113-1090
(505) 366-9536
Mailing address
6801 CALLE LAGUNA NE, ALBUQUERQUE, NM 87113-1090
(505) 366-9536
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
4701
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4701
INSURANCE
NM
Enumeration date
03/11/2016
Last updated
03/11/2016
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