| NPI | 1255164976 |
|---|---|
| Former Legal Business Name | CLASSICAL CHINESE MEDICINE NEW MEXICO |
| Entity Type | Organization |
| Authorized Contact | JOSEFINA BRIANNA ISAACSON Owner 505-228-7128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |