Organization
GRD HEALTH CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GURUCHANDER KHALSA (OWNER)
(505) 984-3034
Entity
Organization
Contact information
Practice address
1505 LLANO ST, SANTA FE, NM 87505-2003
(505) 984-3034
(505) 984-3034
Mailing address
1505 LLANO ST, SANTA FE, NM 87505-2003
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
801
NM
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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