Individual
MRS. IRINA SELS CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3 VERDOLAGA ROAD, EL PRADO, NM 87529
(575) 613-3133
Mailing address
PO BOX 2198, RANCHOS DE TAOS, NM 87557-2198
(575) 613-3133
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6907
NM
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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