Individual
DEBRA WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1009 MECHEM DR STE 5, RUIDOSO, NM 88345-7060
(575) 802-3791
Mailing address
1009 MECHEM DR STE 5, RUIDOSO, NM 88345-7060
(575) 802-3791
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
8242
NM
174400000X
Specialist
8242
NM
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/09/2016
Last updated
05/10/2016
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