Individual
MS. LAURA JEANNE SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMT
Contact information
Practice address
101 ASTER DR SW, RIO RANCHO, NM 87124
(505) 440-4865
Mailing address
101 ASTER DR SW, RIO RANCHO, NM 87124
(505) 440-4865
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7279
NM
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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