Individual
AMANDA ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3150 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-1678
(805) 573-7220
Mailing address
4304 ALTURA MESA LN NE, ALBUQUERQUE, NM 87110-5059
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
5554
NM
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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