Individual
BRADLEY VICTOR LUNSFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3807 ATRISCO DR NW, SUITE 1A, ALBUQUERQUE, NM 87120-4907
(505) 615-3487
(505) 352-8966
Mailing address
1619 HERMOSA DR NE, ALBUQUERQUE, NM 87110-5626
(505) 803-7231
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7555
NM
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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