NPI 1164851382

Djaa Tlhenai Medicine Lodge

Organisation Specialist Albuquerque, NM

Practice location

Address: 111 Carlisle Blvd SE, Albuquerque, NM 87106-1427
Phone: (505) 819-3403
Mailing address: Pob 4682, Albuquerque, NM 87196

Authorised official

Name: Oatzinu Sheelakee
Title: Founder
Phone: (505) 819-3403

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 12-00116271 (NM)

Other Specialist providers in New Mexico →

Registry record

NPI: 1164851382
Entity type: Organization
NPI issued: 7 Nov 2013
Record last updated: 7 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.