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Organization

BLUE LOTUS HEALTH ESSENTIALS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KERRILYN CHEW DOM (DIRECTOR/INCORPORATOR)
(505) 986-9109
Entity
Organization

Contact information

Practice address
618 PASEO DE PERALTA STE A, SANTA FE, NM 87501-1984
(505) 986-9109
(505) 989-3221
Mailing address
618 PASEO DE PERALTA STE A, SANTA FE, NM 87501-1984
(505) 986-9109
(505) 989-3221

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
634
NM
171W00000X
Contractor
3027
NM

Other

Enumeration date
01/26/2010
Last updated
01/26/2010
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