Organization
KINSHIP INSTITUTE TRUST COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA GABRIELLE (EXECUTIVE DIRECTOR)
(505) 438-0062
Entity
Organization
Contact information
Practice address
1264B RODEO RD, SANTA FE, NM 87505-6816
(505) 438-4848
(505) 438-4288
Mailing address
1264B RODEO RD, SANTA FE, NM 87505-6816
(505) 438-4848
(505) 438-4288
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Enumeration date
10/15/2007
Last updated
07/03/2008
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