| NPI | 1952318867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA GRACE OSTON Corp. Sec. / Tres. 505-888-1795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NM 1348) |
| 111N00000X Chiropractor (Licence: NM 1616) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2014-02-10 |