Individual
MRS. LORENA PAOLA KHALSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
415 N PASEO DE ONATE, ESPANOLA, NM 87532-2619
(505) 753-3369
Mailing address
PO BOX 1421, SANTA CRUZ, NM 87567-1421
(505) 753-0298
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4841
NM
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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