Individual
MS. MIDORI M BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
933 LOUISIANA BLVD SE APT C, ALBUQUERQUE, NM 87108-5139
(505) 717-9336
Mailing address
933 LOUISIANA BLVD SE APT C, ALBUQUERQUE, NM 87108-5139
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7659
NM
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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