Individual
MARY-ELIZABETH BLASINGAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
1101 CARDENAS DR NE, SUITE# 105, ALBUQUERQUE, NM 87110-6650
(505) 205-3618
Mailing address
1101 CARDENAS DR NE, SUITE# 105, ALBUQUERQUE, NM 87110-6650
(505) 205-3618
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7033
NM
Other
Enumeration date
03/10/2008
Last updated
04/27/2016
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