Individual
IRMA JEANNE GRIJALVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT RMTI-S
Contact information
Practice address
5800 STERN DR, LAS CRUCES, NM 88001-7817
(505) 647-8270
(505) 647-8270
Mailing address
PO BOX 1044, MESILLA PARK, NM 88047-1044
(505) 647-8270
(505) 647-8270
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4359
NM
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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