Organization
LOS MILAGROS ENTERPRISES,LLC
Active
Organization
LOS MILAGROS ENTERPRISES,LLC
Active
Other names
Kokopelli Bodyworks
Organization subpart
No
Provider details
NPI number
Authorized official
LUCINDA LEONORA PADILLA LMT,MMP,NCTM (OWNER)
(505) 332-8979
Entity
Organization
Contact information
Practice address
3909 JUAN TABO BLVD NE STE 4, ALBUQUERQUE, NM 87111-3973
(505) 332-8979
(505) 332-8806
Mailing address
3909 JUAN TABO BLVD NE STE 4, ALBUQUERQUE, NM 87111-3973
(505) 332-8979
(505) 332-8806
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5526
NM
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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