Individual
MR. STEVEN DEGENNARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
7 AVENIDA VISTA GRANDE, SUITE 200, SANTA FE, NM 87508-9198
(505) 670-8353
Mailing address
7 AVENIDA VISTA GRANDE, SUITE 200, SANTA FE, NM 87508-9198
(505) 670-8353
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3690
NM
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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