Organization
SANTA FE BLISS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WYATT WEGRZYN (MANAGER)
(505) 820-1572
Entity
Organization
Contact information
Practice address
301 E PALACE AVE, SUITE C, SANTA FE, NM 87501-2221
(505) 820-1572
Mailing address
301 E PALACE AVE, SUITE C, SANTA FE, NM 87501-2221
(505) 820-1572
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1528
NM
171100000X
Acupuncturist
Primary
938
NM
171W00000X
Contractor
3377
NM
Other
Enumeration date
12/15/2009
Last updated
12/16/2009
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