Individual
SOPHIA RIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10900 TANZANITE DR NW, ALBUQUERQUE, NM 87114-1853
(505) 239-9644
Mailing address
10900 TANZANITE DR NW, ALBUQUERQUE, NM 87114-1853
(505) 239-9644
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT2023-0126
NM
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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