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Individual

JASINTA S SANCHEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
11000 BROADWAY BLVD SE, ALBUQUERQUE, NM 87105-7469
(505) 899-5557
Mailing address
10014 2ND ST NW TRLR 19, ALBUQUERQUE, NM 87114-2257
(505) 312-0237

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7269
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3218611162
NM
Enumeration date
08/20/2012
Last updated
08/20/2012
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