Organization
FREDERIC VERSWIJVER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERIC VERSWIJVER PHD LMT (DIRECTOR OWNER OF CORPORATION)
(505) 983-2341
Entity
Organization
Contact information
Practice address
1807 SECOND STREET #46, SANTA FE, NM 87505
(505) 983-2341
(505) 983-4578
Mailing address
1807 SECOND STREET #46, SANTA FE, NM 87505
(505) 983-2341
(505) 983-4578
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0249
NM
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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