Individual
JOHN PAUL GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4350 WAKING SKY, SANTA FE, NM 87507-2573
(505) 988-4439
Mailing address
4350 WAKING SKY, SANTA FE, NM 87507-2573
(505) 988-4439
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2961
NM
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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