Individual
MRS. AILEEN M SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOM
Contact information
Practice address
832 W HWY 60, SOCORRO, NM 87801
(505) 838-1100
(505) 838-0394
Mailing address
PO BOX 1132, MAGDALENA, NM 87825-1132
(505) 418-2156
(505) 838-0394
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
619
NM
Other
Enumeration date
09/19/2006
Last updated
07/08/2007
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