Individual
MR. MARK 'MARKOS' SERROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4300 PAN AMERICAN FREEWAY #108, ALBUQUERQUE, NM 87107
(505) 974-3989
Mailing address
4302 PAN AMERICAN FWY NE APT 108, ALBUQUERQUE, NM 87107-4708
(505) 974-3989
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
7844
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7844
SELF
NM
Enumeration date
03/14/2014
Last updated
03/14/2014
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