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Individual

DESIREE SAMANTHA FERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
661 QUANTUM RD NE STE 6, ALBUQUERQUE, NM 87124-4505
(915) 262-3930
Mailing address
7615 PRAIRIE FALCON AVE NW, ALBUQUERQUE, NM 87114-4435
(915) 262-3930

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-2024-0277
NM

Other

Enumeration date
03/01/2025
Last updated
04/22/2026
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