Individual
VIRGINIA MARIE WEPPNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
422 MEDICO LN STE A, SANTA FE, NM 87505-4786
(505) 986-9109
Mailing address
1281 CERRO GORDO RD UNIT A, SANTA FE, NM 87501-6215
(505) 231-3133
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5859
NM
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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