Individual
PAULA SUMMER GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
2383 CAMINO CAPITAN, APT #1, SANTA FE, NM 87505-6442
(505) 220-0633
Mailing address
2383 CAMINO CAPITAN, APT #1, SANTA FE, NM 87505-6442
(505) 220-0633
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5970
NM
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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