Individual
MRS. JIWAN S.K. KHALSA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DOM
Contact information
Practice address
415 N PASEO DE ONATE, ESPANOLA, NM 87532
(505) 753-3369
(505) 753-4006
Mailing address
415 N PASEO DE ONATE, ESPANOLA, NM 87532
(505) 753-3369
(505) 753-4006
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
444
NM
Other
Enumeration date
04/07/2006
Last updated
07/08/2007
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