Individual
KATHY CHRISTIANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.M., L.AC, LMT
Contact information
Practice address
82A COUNTY ROAD 122, ESPANOLA, NM 87532-3187
(505) 753-7576
(505) 753-7676
Mailing address
415 DAIRY RD STE E-412, KAHULUI, HI 96732-2312
(575) 613-0321
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
308
NM
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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