Organization
BODYWISE HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALIM BOHSALI D.C. (OWNER)
(505) 753-9296
Entity
Organization
Contact information
Practice address
234 N PASEO DE ONATE, ESPANOLA, NM 87532-2623
(505) 753-9296
(505) 747-7968
Mailing address
234 N PASEO DE ONATE, ESPANOLA, NM 87532-2623
(505) 753-9296
(505) 747-7968
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1311
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KH 73
BLUE CROSS
NM
Enumeration date
08/12/2006
Last updated
11/28/2007
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