| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1891125183 | ELEMENTAL HEALTH AND WELLNESS CENTER LLC | 4425 JUAN TABO BLVD NE STE 112 | ALBUQUERQUE | NM | 871112684 | |||
| 1467475558 | DRAGER | HEATHER | C | 4425 JUAN TABO BLVD NE STE 112 | ALBUQUERQUE | NM | 871112684 | |
| 1114110558 | GREEN | DEBRA | PO BOX 95590 | ALBUQUERQUE | NM | 871995590 | ||
| 1376651349 | MCINTOSH | THOMAS | MARK | PO BOX 95590 | ALBUQUERQUE | NM | 871995590 |