Organization
ACUPUNCTURE CENTER OF LOS ALAMOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA JOHANSEN DOM (PRESIDENT)
(505) 663-1339
Entity
Organization
Contact information
Practice address
2610 TRINITY DR, SUITE 14, LOS ALAMOS, NM 87544-2376
(505) 663-1339
(505) 662-7371
Mailing address
2610 TRINITY DR, SUITE 14, LOS ALAMOS, NM 87544-2376
(505) 663-1339
(505) 662-7371
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
534
NM
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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