Individual
LAURI GENESIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1532 CERRILLOS RD, SUITE C, SANTA FE, NM 87505-3512
(505) 501-4151
Mailing address
1532 CERRILLOS RD, SUITE C, SANTA FE, NM 87505-3512
(505) 501-4151
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4717
NM
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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