NPI | 1104297589 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAHLISE MOTA Licensed Acupuncturist 575-495-2475 |
Organization Subpart ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CO 1972) |
Enumeration Date | 2015-10-12 |
Last Update Date | 2015-10-12 |