Organization
JEMEZ HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HEUERTZ D.O.M., L.AC. (OWNER)
(505) 220-2321
Entity
Organization
Contact information
Practice address
4010 CARLISLE BLVD NE, SUITE B, ALBUQUERQUE, NM 87107-4532
(505) 220-2321
Mailing address
4010 CARLISLE BLVD NE, SUITE B, ALBUQUERQUE, NM 87107-4532
(505) 220-2321
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
730
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609955228
PERSONAL NPI
—
Enumeration date
04/07/2009
Last updated
04/07/2009
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