MR. Nathaniel Fuentes, LMT

NPI #1487983904 in Espanola, New Mexico

Provider Information

NPI Number: 1487983904
Entity Type: Individual
Name: MR. Nathaniel Fuentes, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Dec 11, 2009
Last Updated: Dec 11, 2009

Practice Location

Address: 510 N PASEO DE ONATE
City: Espanola
State: New Mexico
ZIP Code: 87532-2618
Phone: (505) 753-3369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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