Individual
DR. SANDRA LEE MANASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOM
Contact information
Practice address
500 CHAMA ST NE, ALBUQUERQUE, NM 87108
(505) 268-1939
(505) 268-1939
Mailing address
37 LITTLE CLOUD RD, MORIARTY, NM 87035
(505) 832-4069
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
878
NM
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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