Individual
MISS MARGARITA LISA CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT 9121
Contact information
Practice address
9204 MENAUL BLVD NE, ALBUQUERQUE, NM 87112-2256
(505) 883-1212
Mailing address
1417 LUCRETIA ST SW, ALBUQUERQUE, NM 87121-7995
(505) 227-6961
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9121
NM
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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