Individual provider · NPI-1

Julian Alfredo

Massage Therapist · Albuquerque, NM

NPI number1497188148
StatusActive
Last updated in NPPESAug 16, 2013

Details

NPI
1497188148
Entity type
Individual (NPI-1)
Name
Julian Alfredo
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 16, 2013
Last updated
Aug 16, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist7626NMYes

Practice location

2709 Wyoming Blvd Ne
Albuquerque, NM 87111-4540

Phone 505-294-5486

Mailing address

2709 Wyoming Blvd Ne
Albuquerque, NM 87111-4540

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