Individual
MARY KYUNG JIN DALSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2019 GALISTEO ST STE H2, SANTA FE, NM 87505-2106
(505) 557-6140
Mailing address
100 RIO VISTA PL, 103, SANTA FE, NM 87501-1563
(505) 629-9498
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8657
NM
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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