Individual
MS. PALOMA TERESE BLAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOM
Contact information
Practice address
1302 CALLE DE LA MERCED STE B, ESPANOLA, NM 87532-2630
(505) 747-7242
(505) 747-7242
Mailing address
PO BOX 2901, ESPANOLA, NM 87532
(505) 747-7241
(505) 747-7241
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
DOM240
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00R94S
BCBS
NM
01
—
850477584
UNITED HEALTH CARE
NM
Enumeration date
12/12/2006
Last updated
06/08/2023
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