Individual
MS. MOLLY A O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1505 LLANO ST STE A, SANTA FE, NM 87505-2004
(505) 984-3034
(505) 984-3043
Mailing address
415 N PASEO DE ONATE, ESPANOLA, NM 87532-2619
(505) 753-3369
(505) 753-4006
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5448
NM
Other
Enumeration date
05/08/2009
Last updated
05/08/2009
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