Individual
EVA WHEELER-SAGIAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT & CPT
Contact information
Practice address
2800 WADE BLVD, CLOVIS, NM 88101-9511
(808) 343-0123
Mailing address
2800 WADE BLVD, CLOVIS, NM 88101-9511
(808) 343-0123
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
14180
HI
225700000X
Massage Therapist
Primary
8434
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MIVIA
—
NM
Enumeration date
10/31/2016
Last updated
10/31/2016
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