Individual
JANICE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 SAN PEDRO DR NE STE 205E, ALBUQUERQUE, NM 87110-6749
(505) 348-7535
Mailing address
225 ESPEJO ST NE, ALBUQUERQUE, NM 87123-2707
(505) 348-7535
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2023-0114
NM
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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