Individual
CHRISTINE RENEE OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
45 COUNTY ROAD 113, ESPANOLA, NM 87532-3183
(214) 663-3144
Mailing address
1318 S RIVERSIDE DR, ESPANOLA, NM 87532-8187
(505) 367-0847
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5674
NM
Other
Enumeration date
01/16/2011
Last updated
01/16/2011
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