Individual
CHRISTOPHER SLATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 SIERRA VISTA DR, TRUTH OR CONSEQUENCES, NM 87901-1545
(310) 403-2259
Mailing address
PO BOX 1047, TRUTH OR CONSEQUENCES, NM 87901-1047
(310) 403-2259
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19414
CA
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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