Individual
DR. EMMANUEL P BOULOGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5901J WYOMING BLVD NE # 203, ALBUQUERQUE, NM 87109-3866
(505) 888-9616
Mailing address
5901J WYOMING BLVD NE # 203, ALBUQUERQUE, NM 87109-3866
(505) 888-9616
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1042
MA
111N00000X
Chiropractor
Primary
1955
NM
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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