| NPI | 1710162557 |
|---|---|
| Doing Business As | HEALTH SOURCE |
| Entity Type | Organization |
| Authorized Contact | ANGELIQUE S COOK-LOWRY President 505-884-3039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NM 116RX) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |