Individual
LAURENS WHIPPLE JONES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
400 E 18TH ST, FARMINGTON, NM 87401-6315
(360) 745-9332
Mailing address
400 E 18TH ST, FARMINGTON, NM 87401-6315
(360) 745-9332
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-25593
MT
225700000X
Massage Therapist
MT-2023-0266
NM
Other
Enumeration date
07/19/2023
Last updated
01/03/2025
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