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Individual

JOCELYN TATE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT #3225

Contact information

Practice address
11000 SPAIN RD NE, E, ALBUQUERQUE, NM 87111-1883
(505) 249-2481
Mailing address
11000 SPAIN RD NE, E, ALBUQUERQUE, NM 87111-1883
(505) 249-2481

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LMT #3225
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LMT #3225
LICENSED MASSAGE THERAPIST
NM
Enumeration date
11/09/2015
Last updated
11/09/2015
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