Individual
CHARLOTTE SABINA HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
618 PASEO DE PERALTA STE A, SANTA FE, NM 87501-1984
(505) 989-1818
Mailing address
1353 SAN JUAN DR, SANTA FE, NM 87505-3493
(312) 952-4823
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9054
NM
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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