Individual
LYDIA CARMONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1005 21ST ST SE # 9, RIO RANCHO, NM 87124-4030
(505) 239-9644
(505) 895-2958
Mailing address
1005 21ST ST SE # 9, RIO RANCHO, NM 87124-4030
(505) 239-9644
(505) 895-2958
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8874
NM
Other
Enumeration date
03/06/2022
Last updated
03/06/2022
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