| NPI | 1063677516 |
|---|---|
| Former Legal Business Name | LUZ DE VIDA |
| Entity Type | Organization |
| Authorized Contact | PALOMA TERESE BLAIRE Owner Physician 505-747-7242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NM 240) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |