Individual
LEO VALENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT,MMT
Contact information
Practice address
12505 TURQUOISE AVE NE, ALBUQUERQUE, NM 87123-1556
(505) 220-1804
Mailing address
12505 TURQUOISE AVE NE, ALBUQUERQUE, NM 87123-1556
(505) 220-1804
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7768
NM
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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