Individual
JOANNE KESTENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2811 PLAZA AMARILLA, SANTA FE, NM 87507-6507
(505) 310-0107
Mailing address
2811 PLAZA AMARILLA, SANTA FE, NM 87507-6507
(505) 310-0107
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6213
NM
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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