Individual
ACAZIA GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOM
Contact information
Practice address
1348 PACHECO ST, SUITE 206, SANTA FE, NM 87505-4222
(505) 670-3396
Mailing address
1348 PACHECO ST, SUITE 206, SANTA FE, NM 87505-4222
(505) 670-3396
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
954
NM
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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