Individual
JONATHAN MOORE-GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1315 S SAINT FRANCIS DR, SANTA FE, NM 87505-4035
(505) 252-1691
Mailing address
3108 PUEBLO SAPAWE, SANTA FE, NM 87507-2501
(505) 252-1691
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7706
NM
Other
Enumeration date
11/15/2011
Last updated
12/09/2019
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