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Individual

MR. RICARDO ANTONIO DE LA O

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
2505 CHAPARRAL ST, LAS CRUCES, NM 88001-5701
(575) 386-2202
Mailing address
2505 CHAPARRAL ST, LAS CRUCES, NM 88001-5701
(575) 386-2202

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7645
NM

Other

Enumeration date
09/03/2014
Last updated
10/16/2024
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