Organization
REFORM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MARTIN L.M.T (MASSAGE THERAPIST)
(505) 639-1400
Entity
Organization
Contact information
Practice address
10917 CARTAGENA AVE SW, ALBUQUERQUE, NM 87121-8274
(505) 639-1400
Mailing address
10917 CARTAGENA AVE SW, ALBUQUERQUE, NM 87121-8274
(505) 639-1400
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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