Provider Demographics
NPI:1285761197
Name:FRANKLIN, EMILY MAIA (DOM, LAC)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:MAIA
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:DOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1547 S SAINT FRANCIS DR
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-4039
Mailing Address - Country:US
Mailing Address - Phone:505-820-1860
Mailing Address - Fax:505-820-1860
Practice Address - Street 1:1547 S SAINT FRANCIS DR
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4039
Practice Address - Country:US
Practice Address - Phone:505-820-1860
Practice Address - Fax:505-820-1860
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM839171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist