Individual
TAIT YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3901 SINGER BLVD NE, ALBUQUERQUE, NM 87109-5862
(919) 260-8122
Mailing address
3901 SINGER, ALBUQUERQUE, NM 87109
(919) 260-8122
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7212
NM
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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