Individual
STACEY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
1708 N CANAL ST, CARLSBAD, NM 88220-9659
(337) 335-7003
Mailing address
1218 W URAL DR, CARLSBAD, NM 88220-4061
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT9083
NM
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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