Individual
STEFANIE K SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
724 W ANIMAS ST, FARMINGTON, NM 87401-5617
(505) 215-9042
Mailing address
724 W ANIMAS ST, FARMINGTON, NM 87401-5617
(505) 215-9042
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-2024-0127
NM
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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