Organization
PUBLIC HEALTH ACUPUNCTURE OF NEW MEXICO
Active
Other names
Five NP
Organization subpart
No
Provider details
NPI number
Authorized official
NITYAMO LIAN DOM, MPH (PRESIDENT)
(505) 232-7654
Entity
Organization
Contact information
Practice address
1317 PRINCETON DR NE, ALBUQUERQUE, NM 87106-2618
(505) 232-7654
Mailing address
PO BOX 35863, ALBUQUERQUE, NM 87176-5863
(505) 232-7654
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
VARIOUS
NM
171100000X
Acupuncturist
608
NM
171100000X
Acupuncturist
VARIOUS
NM
174400000X
Specialist
Primary
VARIOUS
NM
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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