Individual
AMY E WEIGOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
532 DON GASPAR AVE, SANTA FE, NM 87505-2626
(505) 303-9375
Mailing address
532 DON GASPAR AVE, SANTA FE, NM 87505-2626
(505) 303-9375
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7934
NM
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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