Individual
DARLA RAE SHROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CNMT, MMP
Contact information
Practice address
8821 GOLF COURSE RD NW, ALBUQUERQUE, NM 87114-5726
(505) 399-2463
Mailing address
8821 GOLF COURSE RD NW, ALBUQUERQUE, NM 87114-5726
(505) 399-2463
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9067
NM
Other
Enumeration date
05/31/2020
Last updated
05/31/2020
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