Individual
MS. BONNIE GAYLE PACIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOM
Contact information
Practice address
2240 MAIN STREET, LOS LUNAS, NM 87031
(505) 865-6728
(505) 888-6701
Mailing address
PO BOX 553, TOME, NM 87060-0553
(505) 489-0067
(505) 888-6701
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
700
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/08/2007
Last updated
04/03/2013
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