Individual
SUSAN KAYE MAYNEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
918 HAWAII AVE, ALAMOGORDO, NM 88310-6475
(575) 921-2503
Mailing address
918 HAWAII AVE, ALAMOGORDO, NM 88310-6475
(575) 921-2503
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7150
NM
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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