Individual
JESSICA MAE VANNATTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
530 HIGHWAY 180 W, SILVER CITY, NM 88061-4400
(575) 956-6171
Mailing address
530 HIGHWAY 180 W, SILVER CITY, NM 88061-4400
(575) 956-6171
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9580
NM
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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