Individual
VICKI M SPEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1415 W AZTEC BLVD, STE 4, AZTEC, NM 87410-1868
(505) 793-0079
Mailing address
16 ROAD 2685, AZTEC, NM 87410-9737
(505) 793-0079
(505) 334-3969
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5855
NM
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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