| NPI | 1396141081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS R MARIONI Provider/Owner 575-318-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NM 1594) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2014-0849) |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2015-03-16 |