Organization
ENCHANTMENT UPPER CERVICAL LLC
Active
Other names
Enchantment Upper Cervical Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA GURULE-RIETMANN DC (OWNER)
(505) 589-9571
Entity
Organization
Contact information
Practice address
2469 CORRALES RD STE E, CORRALES, NM 87048-9148
(505) 589-9571
Mailing address
5601 TIOGA RD NW, ALBUQUERQUE, NM 87120-2352
(505) 435-2870
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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