Individual
CONSEULO ELISA PINEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1480 S SAINT FRANCIS DR, SANTA FE, NM 87505-4038
(505) 690-2833
Mailing address
25C PASEO NOPAL, SANTA FE, NM 87507-8624
(505) 690-2833
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-2024-0170
NM
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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