Individual
MS. AMANDA LOIS ROESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1 LINNIE CT, EDGEWOOD, NM 87015-9125
(505) 250-3654
Mailing address
24 JOE NESTOR RD, EDGEWOOD, NM 87015-8026
(505) 250-3654
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5951
NM
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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