Individual
LISA M RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11208 ARVADA AVE NE, ALBUQUERQUE, NM 87112-3214
(575) 590-4542
Mailing address
11208 ARVADA AVE NE, ALBUQUERQUE, NM 87112-3214
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MT7536
NM
225700000X
Massage Therapist
Primary
MT7537
NM
Other
Enumeration date
03/20/2021
Last updated
03/20/2021
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