Individual
MARY SALISBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOM
Contact information
Practice address
1460 TRINITY DR, SUITE 8, LOS ALAMOS, NM 87544-4106
(505) 690-7142
Mailing address
PO BOX 730, LOS ALAMOS, NM 87544-0730
(505) 690-7142
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
795
NM
171100000X
Acupuncturist
84000040A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00RG14
BCBS
NM
Enumeration date
08/21/2006
Last updated
07/08/2007
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