Individual
LAURA ANGEL BEJARANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMTI, LMMT
Contact information
Practice address
701 WINDMILL DR, LAS CRUCES, NM 88011-8042
(575) 312-4555
Mailing address
701 WINDMILL DR, LAS CRUCES, NM 88011-8042
(575) 312-4555
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
MT8626
NM
172M00000X
Mechanotherapist
MT8626
NM
173C00000X
Reflexologist
MT8626
NM
225700000X
Massage Therapist
Primary
MT8626
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-377874-00-4
CRS
NM
Enumeration date
01/30/2019
Last updated
01/30/2019
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