Individual
SHINO IMAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9712 ADMIRAL EMERSON AVE NE, ALBUQUERQUE, NM 87111-1318
(505) 903-1252
Mailing address
9712 ADMIRAL EMERSON AVE NE, ALBUQUERQUE, NM 87111-1318
(505) 903-1252
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT8676
NM
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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