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Individual

DR. RAVEN JOYCE HARLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DOM

Contact information

Practice address
3908 JUAN TABO BLVD NE, ALBUQUERQUE, NM 87111-3971
(505) 933-0355
Mailing address
9719 CANDELARIA RD NE UNIT 21851, ALBUQUERQUE, NM 87154-2280
(505) 933-0355

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
DOM1279
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
UNKNOWN
NM
Enumeration date
11/30/2021
Last updated
11/30/2021
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