Organization · NPI-2

Clinica De La Gloria

Clinical Nurse Specialist, Family Health · Albuquerque, NM

NPI number1174850291
StatusActive
Last updated in NPPESNov 10, 2009

Details

NPI
1174850291
Entity type
Organization (NPI-2)
Legal business name
Clinica De La Gloria
Organization subpart
No
Enumeration date
Nov 10, 2009
Last updated
Nov 10, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
364SF0001X Clinical Nurse Specialist, Family HealthR11687NMYes

Practice location

1720 Bridge Blvd Sw Ste F
Albuquerque, NM 87105-3182

Phone 505-242-3335 · Fax 505-242-2700

Mailing address

1720 Bridge Blvd Sw Ste F
Albuquerque, NM 87105-3182

Phone 505-242-3335 · Fax 505-242-2700

Authorized official

Gloria Vigil
President
5052423335

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