| NPI | 1003257924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLY-MARIE MAITA BLECHER Owner/Doctor 575-776-7806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NM 1102) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD2011-0528) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2017-02-17 |