| NPI | 1982873287 |
|---|---|
| Other Name | FIREHEALER |
| Entity Type | Organization |
| Authorized Contact | LACRETIA YVONNE BAJWA Owner 505-366-4033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CO 1613) |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2010-10-25 |