Organization
AZTEC SPA AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONI FARQUHARSON LMT (OWNER)
(505) 320-1850
Entity
Organization
Contact information
Practice address
1415 W AZTEC BLVD STE 4, AZTEC, NM 87410-1899
(505) 320-1850
Mailing address
5200 VILLA VIEW DR APT 12A, FARMINGTON, NM 87402-8255
(505) 320-1850
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8154
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194253401
INSURANCE
NM
Enumeration date
07/19/2017
Last updated
07/19/2017
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