Individual
JACQUELINE CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
5901 WYOMING BLVD NE STE V, ALBUQUERQUE, NM 87109-3859
(505) 856-2400
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2151
NM
Other
Enumeration date
10/02/2016
Last updated
01/24/2025
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