Individual
JANINE MAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6855 4TH ST NW STE E1, LOS RANCHOS, NM 87107-6167
(505) 850-5572
Mailing address
338 LOS RANCHOS RD NW, LOS RANCHOS, NM 87107-6531
(505) 850-5572
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1190
NM
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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