Organization
ANCIENT WISDOM HEALING ARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB W WILCOX DOM (OWNER/ACUPUNCTURIST)
(505) 210-2781
Entity
Organization
Contact information
Practice address
1301 S SAINT FRANCIS DR STE C, SANTA FE, NM 87505-4042
(505) 210-2781
Mailing address
2 PERIWINKLE PL, SANTA FE, NM 87508-1389
(505) 210-2781
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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