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Individual

JONELL MILLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
192 MIRANDA CANYON RD, RANCHOS DE TAOS, NM 87557-2559
(575) 751-7594
Mailing address
PO BOX 2559, RANCHOS DE TAOS, NM 87557-2559
(575) 751-7594

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1938
NM

Other

Enumeration date
04/13/2010
Last updated
04/13/2010
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