Individual
WILLIE JAMES WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1348 PACHECO ST, SANTA FE, NM 87505-4222
(505) 988-2449
Mailing address
1837 KIVA RD, SANTA FE, NM 87505-3312
(505) 470-3857
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16167
OR
225700000X
Massage Therapist
6431
NM
Other
Enumeration date
03/20/2009
Last updated
07/16/2013
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