Individual
ELLEN ANNETTE SANTISTEVAN-SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1410 SUNSET RD SE, RIO RANCHO, NM 87124-2629
(505) 363-5331
Mailing address
1410 SUNSET RD SE, RIO RANCHO, NM 87124-2629
(505) 363-5331
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5121
NM
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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