Individual
DIANA GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
123 RICHMOND DR SE, ALBUQUERQUE, NM 87106-2235
(203) 868-9360
Mailing address
820 LAGUAYRA DR NE, ALBUQUERQUE, NM 87108-1732
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT9239
NM
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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