Individual
DR. DOMINIC D VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOM
Contact information
Practice address
6303 4TH ST NW, STE 9, LOS RANCHOS, NM 87107-5853
(505) 554-8049
Mailing address
2908 TRUMAN ST NE, ALBUQUERQUE, NM 87110-3034
(505) 554-8049
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1035
NM
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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