Organization
WILDFLOWER WELLNESS OF NEW MEXICO, LLC
Active
Other names
Classical Chinese Medicine New Mexico
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEFINA BRIANNA ISAACSON D.O.M. (OWNER)
(505) 228-7128
Entity
Organization
Contact information
Practice address
1336 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-5066
(505) 228-7128
Mailing address
1336 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-5066
(505) 228-7128
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710534037
NPPES
NM
01
—
1952181893
NPPES
NM
Enumeration date
08/20/2024
Last updated
08/20/2024
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