Individual
EMILIE KATHRYN BROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOM
Contact information
Practice address
2074 GALISTEO ST, UNIT A2, SANTA FE, NM 87505
(505) 989-7418
Mailing address
2074 GALISTEO ST, UNIT A2, SANTA FE, NM 87505
(505) 989-7418
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1007
NM
225700000X
Massage Therapist
3206
NM
Other
Enumeration date
09/13/2007
Last updated
06/14/2017
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