Individual
CHRISTINE MARIE DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, AAMP, CLT
Contact information
Practice address
1005 21ST ST SE # 5, RIO RANCHO, NM 87124-4030
(505) 510-2270
Mailing address
444 PEACEFUL MEADOWS DR NE, RIO RANCHO, NM 87144-4104
(505) 510-2270
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT9232
NM
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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