Individual provider · NPI-1
Xena Augustine, DOM
Acupuncturist · Santa Fe, NM
NPI number1982115879
StatusActive
Last updated in NPPESFeb 4, 2020
Details
- NPI
- 1982115879
- Entity type
- Individual (NPI-1)
- Name
- Xena Augustine
- Credential
- DOM
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 18, 2017
- Certification date
- Feb 4, 2020
- Last updated
- Feb 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | 1209 | NM | Yes |
Practice location
1807 2nd St Ste 45-3Santa Fe, NM 87505-3499
Phone 505-204-2633
Mailing address
60 Willow Back RdSanta Fe, NM 87508-1484
Phone 505-204-2633
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