Individual
VICKY WILHOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
112 EAST FOURTH STREET, PORTALES, NM 88130
(505) 356-6982
(505) 356-3773
Mailing address
2351 SOUTH ROOSEVELT ROAD 4, PORTALES, NM 88130
(505) 309-5397
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NM3702
NM
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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