Individual
CARMEN L LODERUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1212 VASSAR DR SE, SUITE A, ALBUQUERQUE, NM 87106-2967
(505) 232-2460
Mailing address
1212 VASSAR DR SE, SUITE A, ALBUQUERQUE, NM 87106-2967
(505) 232-2460
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5038
NM
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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