Individual
SUSAN L GRUBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.M.
Contact information
Practice address
1460 TRINITY DR, SUITE 7, LOS ALAMOS, NM 87544-4106
(505) 661-1144
Mailing address
1460 TRINITY DR, SUITE 7, LOS ALAMOS, NM 87544-4106
(505) 661-1144
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
799
NM
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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