Individual
MAVIS NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5300 SEQUOIA RD NW STE 101, ALBUQUERQUE, NM 87120-1288
(505) 289-6718
Mailing address
5300 SEQUOIA RD NW STE 101, ALBUQUERQUE, NM 87120-1288
(505) 289-6718
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8491
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8491
MASSAGE THERAPIST
NM
Enumeration date
03/14/2017
Last updated
03/06/2023
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