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Individual

CONSUELO MARIE GUAMBANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1348 PACHECO ST STE 206, SANTA FE, NM 87505-4222
(505) 988-2449
Mailing address
2737 CALLE SERENA, SANTA FE, NM 87505-5211
(505) 570-9383

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4857
NM

Other

Enumeration date
10/06/2015
Last updated
10/06/2015
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