Most Relevant Information
Provider Data
| NPI Number: | 1003639915 |
| Provider Name: | LAUREN NICOLE HUERTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/07/2024 |
| Last Updated: | 11/07/2024 |
Provider Practice Location
460 SAINT MICHAELS DR STE 1205
SANTA FE
NM
875058605
Practice Location Phone/Fax
| Phone: | 5054906160 |
| Fax: |
Provider Mailing Location
460 SAINT MICHAELS DR STE 1205
SANTA FE
NM
875058605
Provider Mailing Phone/Fax
| Phone: | 5054906160 |
| Fax: |