Individual
MS. MAUREEN LOUISE BISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1532 CERRILLOS RD, SUITEC, SANTA FE, NM 87505-3512
(505) 986-9109
Mailing address
2300 W ALAMEDA ST, CASITA A-5, SANTA FE, NM 87507-9430
(505) 471-9371
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1600
NM
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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