Individual
ALICIA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
107 LA JOYA RD, SANTA FE, NM 87501-2344
(505) 986-0147
Mailing address
107 LA JOYA RD, SANTA FE, NM 87501-2344
(505) 986-0147
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
0520
NM
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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