Organization
ACUPUNTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENE ASHTARA DOM (DOCTOR OF ORIENTAL MEDICINE)
(505) 603-4344
Entity
Organization
Contact information
Practice address
COUNTRY ROAD BO11 #26, HOLMAN, NM 87723
(505) 603-4344
Mailing address
2003 HOPI RD, SANTA FE, NM 87505-2401
(505) 603-4344
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1174
NM
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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