Individual
DR. CAROLINE LAETITIA COLONNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOM
Contact information
Practice address
1103 DON JUAN VALDEZ LANE, EL PRADO, NM 87529
(575) 758-5070
Mailing address
PO BOX 3347, TAOS, NM 87571
(575) 758-5070
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
526
NM
Other
Enumeration date
12/14/2006
Last updated
09/29/2010
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