Individual
MS. RITA GRANBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10701 LOMAS BLVD NE, SUITE 111, ALBUQUERQUE, NM 87112-5463
(505) 307-1447
Mailing address
11700 ARROYO DE VIS NE, ALBUQUERQUE, NM 87111-5748
(505) 307-1447
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7092
NM
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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