Donna Jo Grant, LMT

NPI #1114209004 in Los Lunas, New Mexico

Provider Information

NPI Number
1114209004
Entity Type
Individual
Name
Donna Jo Grant, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Sep 15, 2011
Last Updated
Sep 15, 2011

Practice Location

Address
1603 MAIN ST SW
ZIP Code
87031-8766
Phone
(505) 504-3861

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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