Individual
JONATHAN BROOKSHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
MSC06 3870, UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 277-3136
(505) 277-2020
Mailing address
MSC06 3870, UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 277-3136
(505) 277-2020
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5310
NM
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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