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Individual

MR. DEMOSTHENES STEPHEN METARELIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8006 MENAUL NE, MASSAGE THERAPY WITH LOVE AT ALIVE & WELL CENTER, ALBUQUERQUE, NM 87110-4608
(505) 271-5483
Mailing address
829 CLAUDINE NE, MASSAGE THERAPY WITH LOVE, ALBUQUERQUE, NM 87123-1224
(505) 296-4396

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2950
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00RJ54
BLUE CROSS BLUE SHIELD
NM
Enumeration date
02/11/2008
Last updated
02/11/2008
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