Individual
MELISSA DAWN LAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1224 PENNSYLANIA, STE B, ALBUQUERQUE, NM 87110-7442
(505) 232-8434
Mailing address
1224 PENNSYLANIA STE. B, ALBUQUERQUE, NM 87110-7442
(505) 232-8434
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2257
NM
Other
Enumeration date
02/19/2008
Last updated
11/24/2008
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