Individual
ROBERT L WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6911 TAYLOR RANCH RD NW STE C8, ALBUQUERQUE, NM 87120-2962
(505) 792-3311
(505) 792-3312
Mailing address
6911 TAYLOR RANCH RD NW STE C8, ALBUQUERQUE, NM 87120-2962
(505) 792-3311
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT9370
NM
Other
Enumeration date
11/13/2020
Last updated
11/14/2020
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