Mandala Medicine, LLC
Acupuncturist in Santa Fe, NM. Organization (NPI-2).
NPI number1124332010
StatusActive
Last updated in NPPESAug 3, 2010
Details
- NPI
- 1124332010
- Entity type
- Organization (NPI-2)
- Legal business name
- Mandala Medicine, LLC
- Organization subpart
- No
- Enumeration date
- Aug 3, 2010
- Last updated
- Aug 3, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | 832 | NM | Yes |
| 171100000X | Acupuncturist | 1019 | NM |
Practice location
618 Paseo De Peralta Ste ASanta Fe, NM 87501-1984
Phone 505-795-6164 · Fax 505-466-4697
Mailing address
223 N Guadalupe St # 222Santa Fe, NM 87501-1868
Phone 505-795-6164 · Fax 505-466-4697
Authorized official
Maya Yu
Doctor Of Oriental Medicine
5057956164
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