Individual
MARUAN FAKHURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
1022 PLACITA LOMA, SANTA FE, NM 87501-1594
(505) 399-9535
Mailing address
1022 PLACITA LOMA, SANTA FE, NM 87501-1594
(505) 399-9535
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7480
NM
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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