Individual
MS. DONNA JEAN DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
103 ST. RD 107, MAGDALENA, NM 87825
(157) 551-8881
Mailing address
PO BOX 331, MAGDALENA, NM 87825-0331
(575) 518-8817
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-2023-0005
NM
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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