Individual
MS. MELISSA ELEANOR TRUDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1810 INCA RD NE, RIO RANCHO, NM 87124-5309
(505) 440-3063
(505) 892-8794
Mailing address
1515 VALLEY VISTA CT SE, RIO RANCHO, NM 87124-2862
(505) 440-3063
(505) 892-8794
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1538
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538
NM BOARD MASSAGE THERAPY
NM
01
—
275119
ABMP
NM
01
—
3359
NCTMB
NM
Enumeration date
09/27/2007
Last updated
09/27/2007
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