Organization
EVOLUTION WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA MAUREEN IGNACIO D.C. (OWNER)
(505) 425-5402
Entity
Organization
Contact information
Practice address
720 UNIVERSITY AVE, LAS VEGAS, NM 87701-4250
(505) 425-5402
(505) 425-8643
Mailing address
PO BOX 3625, LAS VEGAS, NM 87701-6625
(505) 425-5402
(505) 425-8643
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1575
NM
Other
Enumeration date
01/02/2008
Last updated
04/21/2008
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