Individual
KELLY FRITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOM, L.AC.
Contact information
Practice address
1532 CERRILLOS RD, SUITE C, SANTA FE, NM 87505-3512
(505) 986-9109
Mailing address
PO BOX 8239, SANTA FE, NM 87504-8239
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1087
NM
Other
Enumeration date
02/23/2014
Last updated
02/23/2014
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