Individual
GARY GLENN GROOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5301 FEATHER ROCK PL NW, ALBUQUERQUE, NM 87114-4197
(505) 419-4558
Mailing address
5301 FEATHER ROCK PL NW, ALBUQUERQUE, NM 87114
(505) 419-4558
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7487
NM
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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