Individual
MARILYN MOORHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1810 CALLE DE SEBASTIAN, H2, SANTA FE, NM 87505-7317
(505) 983-2366
Mailing address
1810 CALLE DE SEBASTIAN, H2, SANTA FE, NM 87505-7317
(505) 983-2366
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
097
NM
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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