Individual
JENNIFER A BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3809 ATRISCO DR NW, SUITE C, ALBUQUERQUE, NM 87120-4902
(505) 615-3487
(505) 352-8966
Mailing address
3809 ATRISCO DR NW, SUITE C, ALBUQUERQUE, NM 87120-4902
(505) 615-3487
(505) 352-8966
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7301
NM
Other
Enumeration date
12/15/2009
Last updated
12/16/2014
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