Organization
ZENTRAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISABETH DETWILER D.O.M (OWNER)
(505) 266-0881
Entity
Organization
Contact information
Practice address
3904 CENTRAL AVE SE, ALBUQUERQUE, NM 87108-1017
(505) 604-5857
Mailing address
3904 CENTRAL AVE SE, ALBUQUERQUE, NM 87108-1017
(505) 604-5857
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1127
NM
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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