Individual
MR. MAHONRI A TELLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T
Contact information
Practice address
4784 SAROMI LN, LAS CRUCES, NM 88011-6806
(575) 640-0843
(575) 680-2225
Mailing address
4784 SAROMI LN, LAS CRUCES, NM 88011-6806
(575) 640-0843
(575) 680-2225
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8433
NM
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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