Individual
MR. JAMES HAROLD DYER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
18648 C PRIVATE DR,, ESPANOLA, NM 87532-8753
(505) 753-7576
Mailing address
18648 C PRIVATE DR,, SUITE C, ESPANOLA, NM 87532
(505) 753-7576
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6329
NM
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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