Individual
JACQUELINE SUZANNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10917 CARTAGENA AVE SW, ALBUQUERQUE, NM 87121-8274
(505) 550-6171
Mailing address
10917 CARTAGENA AVE SW, ALBUQUERQUE, NM 87121-8274
(505) 550-6171
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5892
NM
Other
Enumeration date
06/02/2009
Last updated
06/19/2015
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