Individual
PAUL FORRESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 ELENA ST, #1, SANTA FE, NM 87501-1991
(540) 421-1444
Mailing address
116 ELENA ST, #1, SANTA FE, NM 87501-1991
(540) 421-1444
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7913
NM
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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