Individual
DEBORAH SUE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5115 COORS BLVD NW STE E, ALBUQUERQUE, NM 87120-1926
(505) 897-6560
(505) 715-5537
Mailing address
1012 EL PASEO ST NW, RIO RANCHO, NM 87144-1410
(925) 413-9916
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7866
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000
NONE
—
Enumeration date
07/18/2019
Last updated
07/18/2019
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