Organization
GRD HEALTH CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GURUCHANDER SINGH KHALSA DC (PRESIDENT)
(505) 753-2025
Entity
Organization
Contact information
Practice address
415 N PASEO DE ONATE, ESPANOLA, NM 87532-2619
(505) 753-3369
(505) 753-4006
Mailing address
PO BOX 159, SANTA CRUZ, NM 87567-0159
(505) 753-3369
(505) 753-4006
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
801
NM
Other
Enumeration date
01/31/2006
Last updated
08/22/2020
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