Individual
MS. CELIA JANET LARCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4650 CORRALES RD., BLDG. B, CORRALES, NM 87048
(505) 236-9556
Mailing address
464 COROVAL RD, CORRALES, NM 87048-9341
(505) 236-9556
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4333
NM
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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