Individual
MRS. TAMARA DENISE HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1710 AGUA DULCE DR SE, RIO RANCHO, NM 87124-8746
(505) 697-7197
Mailing address
1710 AGUA DULCE DR SE, RIO RANCHO, NM 87124-8746
(505) 697-7197
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8604
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225700000X
LMT
NM
Enumeration date
06/01/2017
Last updated
07/21/2022
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