Individual
JAMILAH SAGIRAH DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADS
Contact information
Practice address
612 N PASEO DE ONATE, ESPANOLA, NM 87532-2963
(505) 920-9233
(505) 852-1827
Mailing address
PO BOX 520, ESPANOLA, NM 87532-0520
(505) 920-9233
(505) 852-1827
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0097
NM
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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