Individual
MILONIE ROSE LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3803 CATTLE DR NE, RIO RANCHO, NM 87144-6389
(505) 553-8785
Mailing address
3803 CATTLE DR NE, RIO RANCHO, NM 87144-6389
(505) 553-8785
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5779
NM
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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