Individual
SUSAN M PRINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
219 NM-75, DIXON, NM 87527
(505) 901-1272
Mailing address
186 EL VALLE RD, CHAMISAL, NM 87521-4018
(505) 901-1272
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT8460
NM
Other
Enumeration date
06/04/2021
Last updated
08/23/2021
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