Individual
DR. GURU MITAR K. KHALSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.M.
Contact information
Practice address
5 SHADY LN, ESPANOLA, NM 87532-9631
(505) 660-9679
Mailing address
PO BOX 787, ESPANOLA, NM 87532-0787
(505) 660-9679
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
188
NM
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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