Individual
KIM CARLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
916 RALEIGH RD, LAS CRUCES, NM 88005-7717
(505) 526-9254
Mailing address
916 RALEIGH RD, LAS CRUCES, NM 88005-7717
(505) 526-9254
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
706
NM
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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