Individual
AMANDA WHEAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.M
Contact information
Practice address
239 PASEO DE ONATE, ESPANOLA, NM 87532
(505) 753-9296
(505) 747-7968
Mailing address
HC 77 BOX A11, OJO CALIENTE, NM 87549-9710
(505) 927-5086
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
974
NM
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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