Individual
MS. DIANE VALLEJOS MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT 5069
Contact information
Practice address
6827 GLACIER RD NW, ALBUQUERQUE, NM 87114-3756
(505) 315-6328
Mailing address
6827 GLACIER RD NW, ALBUQUERQUE, NM 87114-3756
(505) 315-6328
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
5069
NM
Other
Enumeration date
05/22/2009
Last updated
08/18/2011
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