Organization
ORIGINAL MEDICINE CENTER FOR HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBA I. EAGLES D.O.M. (EXECUTIVE DIRECTOR/OWNER)
(505) 604-3434
Entity
Organization
Contact information
Practice address
119 SAN PASQUALE AVE SW, ALBUQUERQUE, NM 87104-1153
(505) 604-3434
(505) 242-2410
Mailing address
610 11TH ST NW, ALBUQUERQUE, NM 87102-1808
(505) 604-3434
(505) 242-2410
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
833
NM
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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