Individual
JESSE BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
820 FLORIDA ST SE, ALBUQUERQUE, NM 87108-4926
(505) 633-8889
Mailing address
820 FLORIDA ST SE, ALBUQUERQUE, NM 87108-4926
(505) 633-8889
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6697
NM
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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