Individual
DUSTIE JO MARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2019 GALISTEO ST STE H2, SANTA FE, NM 87505-2106
(505) 557-6140
Mailing address
736 TERRACE DR, LAS VEGAS, NM 87701-4934
(505) 903-3892
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8840
NM
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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