Individual
MR. ZACHARY BOBCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
422 MEDICO LN, SANTA FE, NM 87505-4786
(505) 986-9109
Mailing address
94 LA PAZ LOOP, SANTA FE, NM 87508-2284
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-2023-0195
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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