Individual
MRS. MANDY ELIZABETH NATONABAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1 MERCADO ST, DURANGO, CO 81301-7306
(970) 401-2144
Mailing address
9 ROAD 3630, AZTEC, NM 87410-9620
(970) 401-2144
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0008013
CO
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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