Individual
BRYAN FLAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACUPUNTURIST D.O.M.
Contact information
Practice address
524 CHAMISO LN NW, LOS RANCHOS, NM 87107-6602
(505) 379-7639
Mailing address
524 CHAMISO LN NW, LOS RANCHOS, NM 87107-6602
(505) 379-7639
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
282
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
282
DOCTOR OF ORIENTAL MEDICINE
NM
Enumeration date
08/25/2010
Last updated
08/25/2010
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