Individual
STEPHANI MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6211 SAN MATEO BLVD NE STE 200, ALBUQUERQUE, NM 87109-3534
(505) 967-6901
Mailing address
6104 MARTA RD NW, ALBUQUERQUE, NM 87114-3897
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9009
NM
Other
Enumeration date
09/03/2018
Last updated
09/03/2018
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