Individual
MISS CONNIE OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 N PASEO DE ONATE, ESPANOLA, NM 87532-2618
(505) 753-3369
(505) 753-4006
Mailing address
510 N PASEO DE ONATE, ESPANOLA, NM 87532-2618
(505) 753-3369
(505) 753-4006
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7245
NM
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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