ORIGINAL MEDICINE ACUPUNCTURE & WELLNESS, LLC
Ambulatory Health at Luna Cir, Albuquerque, NM

License number
New Mexico 833
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. REBA I EAGLES DOM
Title: EXECUTIVE DIRECTOR
Phone: (505) 503-6490
Address
Address
1001 Luna Cir NW, Albuquerque, NM 87102
National Provider ID: 1750688297
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ORIGINAL MEDICINE ACUPUNCTURE & WELLNESS, LLC

1001 Luna Cir Nw  , Albuquerque, NM 87102

Status:
Inactive
Registration:
Jan 10, 2011
State ID:
4388773
Business type:
Domestic Limited Liability Company
Organizer:
Reba I. Eagles (Organizer)

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