Individual
AIDE AMBER GUILLERMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1202 MAIN ST NE, LOS LUNAS, NM 87031-7409
(505) 239-9644
(505) 896-2958
Mailing address
1067 BALBOA CT SE, LOS LUNAS, NM 87031-9240
(505) 357-2490
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT2024-0057
NM
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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