Organization
GRD ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PATWANT KAUR KHALSA (OFFICE MANAGER)
(505) 753-3369
Entity
Organization
Contact information
Practice address
415 N PASEO DE ONATE, ESPANOLA, NM 87532-2619
(505) 753-3369
(505) 753-4006
Mailing address
415 N PASEO DE ONATE, ESPANOLA, NM 87532-2619
(505) 753-3369
(505) 753-4006
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
NM
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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