Organization
INNERGLOW CHIROPRACTIC, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASEY G LITTLE D.C. (OWNER)
(505) 892-8081
Entity
Organization
Contact information
Practice address
1424 DEBORAH RD SE, SUITE 202A, RIO RANCHO, NM 87124-1058
(505) 892-8081
(505) 892-8270
Mailing address
1424 DEBORAH RD SE, SUITE 202A, RIO RANCHO, NM 87124-1058
(505) 892-8081
(505) 892-8270
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1716
NM
Other
Enumeration date
01/30/2009
Last updated
04/23/2009
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