Individual
ELIZABETH R. VIGIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT 5923
Contact information
Practice address
1225 PARKWAY DR, SUITE B, SANTA FE, NM 87507-7262
(505) 699-1359
Mailing address
PO BOX 28834, SANTA FE, NM 87592-8834
(505) 310-9063
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5923
NM
Other
Enumeration date
03/06/2012
Last updated
09/16/2014
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