| NPI | 1336528918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA T OGORZALY Manager 505-242-1067 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NM 1000) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 230) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |