Healthcare Provider Details

I. General information

NPI: 1346659323
Provider Name (Legal Business Name): DR. DEBBIE ALARCON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2014
Last Update Date: 08/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7810 MENAUL BLVD NE
ALBUQUERQUE NM
87110-4755
US

IV. Provider business mailing address

7810 MENAUL BLVD NE
ALBUQUERQUE NM
87110-4755
US

V. Phone/Fax

Practice location:
  • Phone: 505-369-3399
  • Fax:
Mailing address:
  • Phone: 505-369-3399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number1132
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: