Individual
KELLY CHRISTINE GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3500 TRINITY DR STE C5, LOS ALAMOS, NM 87544-2221
(505) 413-4061
Mailing address
118 AZTEC AVE, WHITE ROCK, NM 87547-3405
(505) 413-0632
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5728
NM
Other
Enumeration date
03/20/2021
Last updated
03/20/2021
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