Organization
GOLDEN WEST ACUPUNCTURE AND WELLNESS LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACIE R SHAIN DOM (OWNER)
(505) 730-1570
Entity
Organization
Contact information
Practice address
590 BOSQUE FARMS BLVD, BOSQUE FARMS, NM 87068-9645
(505) 730-1570
Mailing address
590 BOSQUE FARMS BLVD, BOSQUE FARMS, NM 87068-9645
(505) 730-1570
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1176
NM
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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