Individual
MS. GINA BANDONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT #2511, CKT
Contact information
Practice address
2509 VERMONT ST NE STE C-3102, ALBUQUERQUE, NM 87110-4688
(505) 440-7424
Mailing address
6337 AVENIDA LA COSTA NE, ALBUQUERQUE, NM 87109-4103
(505) 440-7424
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2511
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2511
LMT
NM
Enumeration date
08/22/2007
Last updated
04/17/2014
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