Individual
DR. MARY JO MCILHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.M.
Contact information
Practice address
521 SALAZAR ST, FRONT, SANTA FE, NM 87501-3641
(505) 984-8877
Mailing address
521 SALAZAR ST, FRONT, SANTA FE, NM 87501-3641
(505) 984-8877
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
NM714
NM
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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