Individual
OSCAR ELIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, BSN RN
Contact information
Practice address
6666 4TH ST NW, LOS RANCHOS, NM 87107-6144
(505) 220-0149
Mailing address
6666 4TH ST NW, LOS RANCHOS, NM 87107-6144
(505) 220-0149
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
87938
NM
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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