Individual
PAMELA JEAN GREGG FLAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.M.
Contact information
Practice address
1300 LUISA ST STE 21, SANTA FE, NM 87505-4177
(505) 690-8048
Mailing address
4751 AGUA FRIA ST, SANTA FE, NM 87507-9251
(505) 690-8048
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1072
NM
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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