Organization
WHOLE SELF RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARTAR KHALSA DOM (OWNER)
(505) 920-6020
Entity
Organization
Contact information
Practice address
509 W PUEBLO DR, ESPANOLA, NM 87532-2508
(506) 747-3368
(505) 367-0077
Mailing address
PO BOX 4621, SANTA FE, NM 87502-4621
(505) 920-6020
(505) 367-0077
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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