| NPI | 1699102467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN C. JAY Owner 505-323-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NM 90-216) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: NM 637RX2) |
| 208VP0000X Pain Medicine Pain Medicine (Licence: NM 90-216) | |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |