Individual
ANTOINETTE M FARBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 RODEO RD RM 2, SANTA FE, NM 87505-6378
(505) 316-6967
Mailing address
3005 S ST FRANCIS DR, STE 1D #307, SANTA FE, NM 87505
(505) 316-6967
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
DOM1242
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DOM1242
STATE LICENSE
NM
Enumeration date
01/20/2022
Last updated
01/20/2022
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