Individual
MS. BONNIE MCNAIRN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1332 GUSDORF RD STE D, TAOS, NM 87571-6372
(575) 758-3868
Mailing address
PO BOX 1055, TAOS, NM 87571-1055
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3439
NM
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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