Chiwawa Chiropractic LLC
Clinic/Center in Las Cruces, NM. Organization (NPI-2).
NPI number1740530955
StatusActive
Last updated in NPPESSep 14, 2012
Details
- NPI
- 1740530955
- Entity type
- Organization (NPI-2)
- Legal business name
- Chiwawa Chiropractic LLC
- Organization subpart
- No
- Enumeration date
- Sep 14, 2012
- Last updated
- Sep 14, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 1966 | NM | Yes |
Practice location
255 W Hadley AveLas Cruces, NM 88005-1806
Phone 575-520-2318
Mailing address
2001 E Lohman Ave110-183
Las Cruces, NM 88001-3167
Authorized official
Tapiwa Chiwawa
Owner
5755202318
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