Individual
DEBRA GREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NM LMT#8184
Contact information
Practice address
1418 LUISA ST STE 1, SANTA FE, NM 87505-4091
(505) 490-7895
Mailing address
1418 LUISA ST, SANTA FE, NM 87505-4091
(505) 490-7895
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT #8184
NM
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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