| NPI | 1710138706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDI C WALLIN Chiropractor 575-769-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: NM 1617) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |