Individual
INGRID Y. WENGATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2745
(505) 272-4508
Mailing address
1650 UNIVERSITY BLVD NE, SUITE 116, ALBUQUERQUE, NM 87102-1726
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5899
NM
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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