Individual
JULIET WINIFRED KOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1017 4TH ST SW, ALBUQUERQUE, NM 87102-4142
(505) 585-1711
Mailing address
1017 4TH ST SW, ALBUQUERQUE, NM 87102-4142
(505) 585-1711
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-2023-0015
NM
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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