Djaa Tlhenai Medicine Lodge

NPI #1164851382 in Albuquerque, New Mexico

Provider Information

NPI Number: 1164851382
Entity Type: Organization
Organization Name: Djaa Tlhenai Medicine Lodge
Subpart: Yes (part of a larger organization)
Parent Organization: LI PA HENNE TRIBE
Primary Specialty: Specialist
Enumeration Date: Nov 7, 2013
Last Updated: Nov 7, 2013

Practice Location

Address: 111 CARLISLE BLVD SE
City: Albuquerque
State: New Mexico
ZIP Code: 87106-1427
Phone: (505) 819-3403

Authorized Official

Name: OATZINU SHEELAKEE, IAMP
Title: FOUNDER
Phone: (505) 819-3403

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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