Ann M Micono, LICENSE MASSAGE THER
NPI #1801069844 in Corrales, New Mexico
Provider Information
- NPI Number
- 1801069844
- Entity Type
- Individual
- Name
- Ann M Micono, LICENSE MASSAGE THER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LICENSE MASSAGE THER
- Enumeration Date
- Apr 10, 2008
- Last Updated
- Apr 10, 2008
Practice Location
- Address
- 4436 CORRALES RD
- City
- Corrales
- State
- New Mexico
- ZIP Code
- 87048
- Phone
- (505) 507-1654
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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