Individual
MS. CARON SUZANNE CARAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5345 WYOMING BLVD NE STE 104, ALBUQUERQUE, NM 87109-3193
(505) 850-0872
Mailing address
5217 CAMINO DEL SOL NE APT D, SUITE A, ALBUQUERQUE, NM 87111-2053
(505) 850-0872
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
7141
NM
Other
Enumeration date
07/24/2012
Last updated
11/06/2013
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