Individual
JOT KAUR KHALSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
510 N PASEO DE ONATE, ESPANOLA, NM 87532-2618
(505) 753-3369
(505) 753-4006
Mailing address
510 N PASEO DE ONATE, ESPANOLA, NM 87532-2618
(505) 753-3369
(505) 753-4006
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
NM
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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