Individual
RANDI DAWN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
607 N HUDSON ST, SILVER CITY, NM 88061-5436
(575) 956-6478
Mailing address
607 N HUDSON ST STE B, SILVER CITY, NM 88061-5436
(575) 956-6478
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7780
NM
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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