Individual
MONIQUE GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
618 PASEO DE PERALTA STE A, SANTA FE, NM 87501-1984
(505) 989-1818
Mailing address
618 PASEO DE PERALTA STE A, SANTA FE, NM 87501-1984
(505) 577-6448
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6482
NM
Other
Enumeration date
11/15/2012
Last updated
12/17/2012
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