Individual
MISTY M ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
308 N CALIFORNIA ST, SOCORRO, NM 87801-4207
(575) 418-8111
Mailing address
PO BOX 1181, SOCORRO, NM 87801-1181
(575) 418-8111
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7168
NM
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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