Individual
DR. DAMIEN SALVATORE PASSALACQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
82 COUNTY ROAD 122 # A, ESPANOLA, NM 87532-3187
(505) 753-7576
Mailing address
199 A LOWER SAN PEDRO, ESPANOLA, NM 87532
(505) 747-4952
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1635
NM
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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