Individual
VANESSA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2709 WYOMING BLVD NE, ALBUQUERQUE, NM 87111-4540
(505) 294-5486
(505) 294-3655
Mailing address
2509 VERMONT ST NE STE C2-102, ALBUQUERQUE, NM 87110-4688
(505) 604-0195
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6105
NM
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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