Organization
DIAMONDBACK WELLNESS CENTER LLC
Active
Parent organization
DIAMONDBACK WELLNESS CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIAMONDBACK WELLNESS CENTER
Authorized official
DR. GINA T OGORZALY D.C. (MANAGER)
(505) 242-1067
Entity
Organization
Contact information
Practice address
633 KINLEY AVE NW, ALBUQUERQUE, NM 87102
(505) 242-1067
Mailing address
633 KINLEY AVE NW, ALBUQUERQUE, NM 87102-1282
(505) 242-1067
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1000
NM
171100000X
Acupuncturist
230
NM
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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