Individual
MARISSA LOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.M.
Contact information
Practice address
1418 LUISA ST STE 4A, SANTA FE, NM 87505-4091
(970) 376-4354
Mailing address
PO BOX 329, SANTA FE, NM 87504-0329
(970) 376-4354
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1155
NM
Other
Enumeration date
11/19/2015
Last updated
03/15/2017
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