Individual
MS. SALLY DENISE GOSSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NTS
Contact information
Practice address
3901 GEORGIA ST NE, SUITE A-4, ALBUQUERQUE, NM 87110-1359
(595) 610-7784
Mailing address
PO BOX 37277, ALBUQUERQUE, NM 87176-7277
(505) 610-7784
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
581
NM
Other
Enumeration date
01/18/2007
Last updated
03/26/2012
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