Individual
MELISSA LEE FULLMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10724 FENCIK LN SW, ALBUQUERQUE, NM 87121-3694
(505) 238-6881
Mailing address
10724 FENCIK LN SW, ALBUQUERQUE, NM 87121-3694
(505) 238-6881
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7838
NM
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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