Individual
MARTIN LOUIS RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2901 JUAN TABO BLVD NE STE 100G, ALBUQUERQUE, NM 87112-1881
(505) 252-2741
Mailing address
2901 JUAN TABO BLVD NE STE 100G, ALBUQUERQUE, NM 87112-1881
(505) 252-2741
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT8760
NM
Other
Enumeration date
12/21/2020
Last updated
01/03/2021
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