Organization · NPI-2

Ancient Wisdom Healing Arts LLC

Acupuncturist · Santa Fe, NM

NPI number1124587761
StatusActive
Last updated in NPPESMar 13, 2019

Details

NPI
1124587761
Entity type
Organization (NPI-2)
Legal business name
Ancient Wisdom Healing Arts LLC
Organization subpart
No
Enumeration date
Mar 13, 2019
Last updated
Mar 13, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171100000X Acupuncturist––Yes

Practice location

1301 S Saint Francis Dr Ste C
Santa Fe, NM 87505-4042

Phone 505-210-2781

Mailing address

2 Periwinkle Pl
Santa Fe, NM 87508-1389

Phone 505-210-2781

Other practice locations

1301 S Saint Francis Dr Ste C
Santa Fe, NM 87505-4042

Phone 505-210-2781

Authorized official

Jacob W Wilcox
Owner/Acupuncturist
5052102781

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