MR. Vincent John Losack, LMT

NPI #1013240563 in Corrales, New Mexico

Provider Information

NPI Number: 1013240563
Entity Type: Individual
Name: MR. Vincent John Losack, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Sep 16, 2009
Last Updated: Sep 16, 2009

Practice Location

Address: 5606 CORRALES RD
City: Corrales
State: New Mexico
ZIP Code: 87048-8754
Phone: (505) 269-3263

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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