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Andra E. Maddox, LMT
Specialist in El Prado, New Mexico
NPI 1548045941

Andra E. Maddox is a Specialist based in El Prado, NM. Andra E. Maddox practices in El Prado, NM and has the professional credentials of LMT. The NPI Number for Andra E. Maddox is 1548045941 and holds a License No. MT8027 (New Mexico).

The current practice location address for Andra E. Maddox is 98 State Highway 150, El Prado, NM and can be reached out via phone at 575-776-1117 and via fax at 575-776-1119.

Location: 98 State Highway 150, El Prado, NM, 87529-1589
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548045941
Provider Name
Andra E. Maddox
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
98 State Highway 150, El Prado, NM, 87529-1589
Phone Number
575-776-1117
Fax Number
575-776-1119
Provider Enumeration Date
08/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
98 State Highway 150
City
El Prado
State
New Mexico
Zip
87529-1589
Phone Number
575-776-1117
Fax Number
575-776-1119
person
Provider Business Mailing Address Details
Address
98 State Highway 150
City
El Prado
State
New Mexico
Zip
87529-1589
Phone Number
575-776-1117
Fax Number
575-776-1119
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MT8027 (New Mexico)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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