Individual
LINDA CLARICE DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3500 COMANCHE NE, STE I, ALBUQUERQUE, NM 87107
(505) 379-7830
Mailing address
2713 DAKOTA NE, PO BOX 26695, ALBUQUERQUE, NM 87110
(505) 379-7830
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2346
NM
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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