Individual
MR. JAMES FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DOM
Contact information
Practice address
520 FRIEDMAN AVENUE, LAS VEGAS, NM 87701-4318
(505) 454-1410
(505) 454-1410
Mailing address
520 FRIEDMAN AVENUE, LAS VEGAS, NM 87701-4318
(505) 454-1410
(505) 454-1410
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
338
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM01R79N
BLUE CROSS BLUE SHIELD
—
Enumeration date
10/17/2006
Last updated
07/08/2007
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