Healthcare Provider Details
I. General information
NPI: 1487041695
Provider Name (Legal Business Name): BREATHING INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/26/2015
Last Update Date: 04/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8338 COMANCHE RD NE
ALBUQUERQUE NM
87110-2304
US
IV. Provider business mailing address
8338 COMANCHE RD NE
ALBUQUERQUE NM
87110-2304
US
V. Phone/Fax
- Phone: 505-393-5556
- Fax:
- Phone: 505-393-5556
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
XUELAN
QIU
Title or Position: OWNER
Credential: PHD
Phone: 505-393-5556