Individual
CHERLON R GANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
32 CABRESTO RD, QUESTA, NM 87556
(575) 770-8980
Mailing address
PO BOX 582, QUESTA, NM 87556-0582
(575) 770-8980
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6453
NM
Other
Enumeration date
02/07/2012
Last updated
02/16/2012
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