Individual
MS. AMY JEANNIE MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1330 BOSQUE FARMS BLVD, BOSQUE FARMS, NM 87068-9325
(505) 916-0003
Mailing address
1330 BOSQUE FARMS BLVD, BOSQUE FARMS, NM 87068-9325
(505) 916-0003
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2352
NM
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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