Individual
ANNE ELIZABETH KOLESSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, CCT
Contact information
Practice address
2469 CORRALES RD, CORRALES, NM 87048-9146
(505) 508-5827
Mailing address
6408 GAMBEL QUAIL RD NE, RIO RANCHO, NM 87144-5141
(505) 850-8897
(505) 274-7672
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8804
NM
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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