Individual
CORY GAETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 TRUMAN ST NE, ALBUQUERQUE, NM 87108-1333
(505) 261-8820
Mailing address
222 TRUMAN ST NE, ALBUQUERQUE, NM 87108-1333
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1663
NM
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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