Individual
MS. KAREN WACONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
201 DARTMOUTH DR SE, ALBUQUERQUE, NM 87106-2219
(505) 503-5093
Mailing address
449 SEDILLO RD, TIJERAS, NM 87059-7337
(505) 503-5093
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
363
NM
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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