Individual
MRS. SHAWNA LEANN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
3119 GEORGIA ST NE, ALBUQUERQUE, NM 87110-2622
(505) 450-7233
Mailing address
3119 GEORGIA ST NE, ALBUQUERQUE, NM 87110-2622
(505) 450-7233
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7179
NM
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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