Individual
JACQUELINE JIRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 LAMBERTON PL NE, ALBUQUERQUE, NM 87107-1617
(505) 916-4224
Mailing address
18 TRIBAL ROAD 7, BOSQUE FARMS, NM 87068-8003
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT2024-0017
NM
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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