Individual
MR. GARY A WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
509 W PUEBLO DR, ESPANOLA, NM 87532
(505) 753-6567
(505) 367-0077
Mailing address
PO BOX 1361, ESPANOLA, NM 87532-1361
(505) 753-6567
(505) 367-0077
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0397
NM
Other
Enumeration date
03/15/2007
Last updated
04/14/2010
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