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NPI Code Detail

MEDICARE: MRS. CHARLENE BACHICHA LMT

MEDICARE:  MRS. CHARLENE  BACHICHA  LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist7104NM

General Provider Information

NPI Number : 1538645833
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHARLENE BACHICHA LMT
Provider Business Mailing Address
First Line : 6711 MESA MARIPOSA PL NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87120-3357
Country : US
Telephone Number : 505-504-2355
Fax Number :
Provider Business Practice Location Address
First Line : 6711 MESA MARIPOSA PL NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87120-3357
Country : US
Telephone Number : 505-504-2355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2018
Last Update Date : 05/01/2025

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Directions to “ MRS. CHARLENE BACHICHA LMT” Practice Location

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