Organization
MANDALA MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYA YU DOM (DOCTOR OF ORIENTAL MEDICINE)
(505) 795-6164
Entity
Organization
Contact information
Practice address
618 PASEO DE PERALTA STE A, SANTA FE, NM 87501-1984
(505) 795-6164
(505) 466-4697
Mailing address
223 N GUADALUPE ST # 222, SANTA FE, NM 87501-1868
(505) 795-6164
(505) 466-4697
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
1019
NM
171100000X
Acupuncturist
Primary
832
NM
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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