Organization
CROSSROADS COMMUNITY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILLY-MARIE MAITA BLECHER ND, DOM (PRESIDENT)
(575) 776-7806
Entity
Organization
Contact information
Practice address
330 PASEO DEL PUEBLO SUR, TAOS, NM 87571-5328
(575) 776-7806
Mailing address
330 PASEO DEL PUEBLO SUR, TAOS, NM 87571-5328
(575) 776-7806
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1102
NM
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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