Healthcare Provider Details
I. General information
NPI: 1376291724
Provider Name (Legal Business Name): POINTS FOR HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/15/2022
Last Update Date: 03/15/2022
Certification Date: 03/15/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3949 CORRALES RD STE 180
CORRALES NM
87048-9349
US
IV. Provider business mailing address
218 2ND ST SE
RIO RANCHO NM
87124-2610
US
V. Phone/Fax
- Phone: 505-333-9897
- Fax:
- Phone:
- 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:
JULIE
WOOD
Title or Position: OWNER/PROVIDER
Credential: DOM
Phone: 575-574-5997