Individual
MONIQUE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
6855 4TH ST NW, LOS RANCHOS, NM 87107-6100
(505) 508-2752
Mailing address
4908 CANYON GATE PL NE, RIO RANCHO, NM 87144-6348
(631) 885-0683
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8975
NM
Other
Enumeration date
09/22/2018
Last updated
09/22/2018
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