Individual
JUSTIN MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T. 6784
Contact information
Practice address
3408 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87106-1200
(505) 720-0700
Mailing address
14 EL PRADO DR, EDGEWOOD, NM 87015-9750
(505) 720-0700
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6784
NM
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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