Janine Mahon

Individual provider Active NPI Acupuncturist · Los Ranchos, NM

NPI 1093267809 · NPPES record last updated Oct 27, 2016

Key facts

NPI
1093267809
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
1190 (NM)
Practice address
6855 4TH St NW Ste E1
Los Ranchos, NM 87107-6167
Phone
(505) 850-5572
NPI assigned
Oct 27, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1190NMMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1190 NM Yes

Addresses

Primary practice location

6855 4TH St NW Ste E1
Los Ranchos, NM 87107-6167

Mailing address

338 Los Ranchos Rd NW
Los Ranchos, NM 87107-6531
Phone (505) 850-5572

Other providers in Los Ranchos, NM

All providers in Los Ranchos, NM · Acupuncturist in New Mexico

Sources for this page

Verify at the official NPI Registry.