Healthcare Provider Details

I. General information

NPI: 1245308287
Provider Name (Legal Business Name): LOYCE CATHRINE DULIN LMT,MMP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 CANDELARIA RD NE
ALBUQUERQUE NM
87112-1301
US

IV. Provider business mailing address

PO BOX 784
PLACITAS NM
87043-0784
US

V. Phone/Fax

Practice location:
  • Phone: 505-293-3703
  • Fax:
Mailing address:
  • Phone: 505-867-3037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number275
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: