Individual
MS. STACIA LEIGH SHIFFLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1532 CERRILLOS RD, BUILDING C, SANTA FE, NM 87505-3512
(505) 986-9109
Mailing address
6428 JAGUAR DR, SANTA FE, NM 87507-1606
(505) 913-0515
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6468
NM
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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