Individual
JANE OMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
140 CEDAR ST, SANTA FE, NM 87501-1649
(505) 490-3545
Mailing address
140 CEDAR ST, SANTA FE, NM 87501-1649
(505) 490-3545
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
LMT# 3039
NM
Other
Enumeration date
01/09/2016
Last updated
01/09/2016
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