| NPI | 1497889620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN YANZ KIRKWOOD Business Manager 505-299-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NM 1621) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2011-11-15 |