| NPI | 1144765983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLY-MARIE MAITA BLECHER President 575-776-7806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NM 1102) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |