Organization
GAIA TREE INTEGRATIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE MILLER PA (OWNER)
(505) 391-4242
Entity
Organization
Contact information
Practice address
1751 CALLE MEDICO STE O, SANTA FE, NM 87505-4706
(505) 391-4242
(505) 439-7052
Mailing address
1751 CALLE MEDICO STE O, SANTA FE, NM 87505-4706
(505) 391-4242
(505) 439-7052
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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