Luz De Vida LLC
NPI #1063677516 in Espanola, New Mexico
Provider Information
- NPI Number
- 1063677516
- Entity Type
- Organization
- Organization Name
- Luz De Vida LLC
- Primary Specialty
- Acupuncturist
- Enumeration Date
- Jul 24, 2008
- Last Updated
- Jul 24, 2008
Practice Location
- Address
- 705 MIDDLE SAN PEDRO
- City
- Espanola
- State
- New Mexico
- ZIP Code
- 87532
- Phone
- (505) 747-7242
Authorized Official
- Name
- PALOMA TERESE BLAIRE, DO M
- Title
- OWNER PHYSICIAN
- Phone
- (505) 747-7242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Acupuncturist |
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