Individual
KIMBERLY SUZANNE WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11901 MENAUL BLVD NE, ALBUQUERQUE, NM 87112-2421
(505) 352-4618
Mailing address
11901 MENAUL BLVD NE, ALBUQUERQUE, NM 87112-2421
(505) 352-4618
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4951
NM
Other
Enumeration date
07/04/2010
Last updated
07/04/2010
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