Individual
DEBRA DANIELLE FROMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2 MARIETTA CT STE C, EDGEWOOD, NM 87015-9400
(505) 307-3924
Mailing address
28 MORPER, EDGEWOOD, NM 87015
(505) 307-3924
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT9332
NM
Other
Enumeration date
02/26/2020
Last updated
04/14/2025
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