Individual
MS. MARIANNE LAURA HAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOM
Contact information
Practice address
1207 MORELIA ST, SANTA FE, NM 87505-4129
(505) 820-0764
(505) 989-9953
Mailing address
1207 MORELIA ST, SANTA FE, NM 87505-4129
(505) 820-0764
(505) 989-9953
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
243
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R624
BCBS OF NM
NM
Enumeration date
08/30/2006
Last updated
07/08/2007
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