Individual
LORENA SIFUENTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2620 SAN MATEO BLVD NE, ALBUQUERQUE, NM 87110-3165
(505) 888-4044
Mailing address
912 PACIFIC AVE SW, ALBUQUERQUE, NM 87102-4060
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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