Individual
MS. CHERYL ANN BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T. H.H.P
Contact information
Practice address
815 W SANTA FE AVE, GRANTS, NM 87020-3613
(505) 287-8158
(505) 287-8158
Mailing address
815 W SANTA FE AVE, GRANTS, NM 87020-3613
(505) 287-8158
(505) 287-8158
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5661
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5661
MASSAGE THERAPY
NM
Enumeration date
05/07/2008
Last updated
05/12/2008
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