Healthcare Provider Details

I. General information

NPI: 1861602831
Provider Name (Legal Business Name): TALENTO ACUPUNCTURE CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 07/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 ENCINO PL NE STE A
ALBUQUERQUE NM
87102-2652
US

IV. Provider business mailing address

711 ENCINO PL NE STE A
ALBUQUERQUE NM
87102-2652
US

V. Phone/Fax

Practice location:
  • Phone: 505-243-8058
  • Fax: 505-243-8057
Mailing address:
  • Phone: 505-243-8058
  • Fax: 505-243-8057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: MS. BARB CHASE
Title or Position: OFFICE MANAGER
Credential:
Phone: 505-243-8058