Individual
MR. CALVIN DUCANE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, MT, PT
Contact information
Practice address
12 UNSER BLVD SE STE J, RIO RANCHO, NM 87124-6300
(505) 305-5615
Mailing address
7804 PAN AMERICAN EAST FWY NE, ALBUQUERQUE, NM 87109-4643
(505) 305-5615
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT9662
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT9662
NEW MEXICO LICENSING BOARD
NM
Enumeration date
06/28/2022
Last updated
02/14/2024
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