MS. Sara Ashlene Maxwell

NPI #1225203706 in Espanola, New Mexico

Provider Information

NPI Number: 1225203706
Entity Type: Individual
Name: MS. Sara Ashlene Maxwell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Apr 25, 2008
Last Updated: Apr 25, 2008

Practice Location

Address: 415 N PASEO DE ONATE
City: Espanola
State: New Mexico
ZIP Code: 87532-2619
Phone: (505) 753-3369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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