Individual
MARTIN E. MANRIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOM
Contact information
Practice address
1211 10TH ST STE 6, ALAMOGORDO, NM 88310-5832
(505) 439-5020
Mailing address
1211 E. 10TH ST. STE 6, ALAMOGORDO, NM 88310
(505) 439-5020
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
464RX2
NM
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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