Individual
MIRANDA JANAY RIETMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2469 CORRALES RD STE E, CORRALES, NM 87048-9148
(505) 414-0379
Mailing address
10701 STONEBROOK PL NW, ALBUQUERQUE, NM 87114-3789
(505) 414-3602
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT9338
NM
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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