Individual
MATEO D BERNAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.M.
Contact information
Practice address
1605 S MAIN ST, BLDG A, LAS CRUCES, NM 88005-3124
(575) 541-5660
Mailing address
1502 E LAS CRUCES AVE, LAS CRUCES, NM 88001-2636
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1105
NM
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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