Individual
STEPHANIE AMANDA LEAH SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T., A.P.P
Contact information
Practice address
826 CAMINO DE MONTE REY, SANTA FE, NM 87505-3977
(505) 424-9527
Mailing address
826 CAMINO DE MONTE REY, SANTA FE, NM 87505-3977
(505) 424-9527
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6922
NM
Other
Enumeration date
05/01/2011
Last updated
05/01/2011
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