Provider Demographics
NPI:1114932811
Name:GEHRING, CONSTANCE (DOM)
Entity Type:Individual
Prefix:DR
First Name:CONSTANCE
Middle Name:
Last Name:GEHRING
Suffix:
Gender:F
Credentials:DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 91871
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87199
Mailing Address - Country:US
Mailing Address - Phone:505-264-0024
Mailing Address - Fax:
Practice Address - Street 1:ACUPUNCTURE ETC. LLC
Practice Address - Street 2:11000 SPAIN RD. NE, BLDG. E
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111
Practice Address - Country:US
Practice Address - Phone:505-264-0024
Practice Address - Fax:505-271-6668
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM822171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist