Individual
JOLEE PECORIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.M
Contact information
Practice address
350 MOONGATE RD, CORRALES, NM 87048-8351
(575) 418-7805
Mailing address
350 MOONGATE RD, CORRALES, NM 87048-8351
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1171
NM
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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