| NPI | 1376731091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA KAY PETTY Doctor Of Oriental Medicine 505-918-7596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NM 857) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |