DJAA TLHENAI MEDICINE LODGE NPI 1164851382

NPI Information

DJAA TLHENAI MEDICINE LODGE is a specialist in Albuquerque, NM. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DJAA TLHENAI MEDICINE LODGE NPI is 1164851382. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

111 CARLISLE BLVD SE
ALBUQUERQUE, NM
ZIP 87106-427
Phone: (505) 819-3403

The provider's authorized official is Oatzinu Sheelakee .
The authorized official title is Founder and has the following contact phone number (505) 819-3403.

The enumeration date for this NPI number is 11/7/2013 and was last updated on 11/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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