Individual
JENNIFER SWANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 LOBO CANYON RD, GRANTS, NM 87020-2349
(505) 475-7449
Mailing address
PO BOX 803, GRANTS, NM 87020-0803
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT9581
NM
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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