Enchantment Upper Cervical LLC

NPI #1164130548 in Corrales, New Mexico

Provider Information

NPI Number: 1164130548
Entity Type: Organization
Organization Name: Enchantment Upper Cervical LLC
Primary Specialty: Chiropractor
Enumeration Date: Nov 14, 2022
Last Updated: Nov 14, 2022

Practice Location

Address: 2469 CORRALES RD STE E
City: Corrales
State: New Mexico
ZIP Code: 87048-9148
Phone: (505) 589-9571

Authorized Official

Name: OLIVIA GURULE-RIETMANN, DC
Title: OWNER
Phone: (505) 589-9571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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