Individual
KAIMANA BURK MOIHA KANEKOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 COPPER AVE NE, ALBUQUERQUE, NM 87102-3521
(505) 369-9096
Mailing address
415 COPPER AVE NE, ALBUQUERQUE, NM 87102-3521
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT9618
NM
Other
Enumeration date
03/21/2023
Last updated
04/01/2023
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