Organization
RED PHOENIX ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BONNETT DOM (OWNER)
(505) 896-6965
Entity
Organization
Contact information
Practice address
4041 BARBARA LOOP SE, SUITE A, RIO RANCHO, NM 87124-1065
(505) 896-6965
Mailing address
4041 BARBARA LOOP SE, SUITE A, RIO RANCHO, NM 87124-1065
(505) 896-6965
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
906
NM
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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