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Epitome Of Youth Wellness & Aesthetics LLC

Nurse Practitioner in Carlsbad, NM. Organization (NPI-2).

NPI number1619704202
StatusActive
Last updated in NPPESSep 26, 2024

Details

NPI
1619704202
Entity type
Organization (NPI-2)
Legal business name
Epitome Of Youth Wellness & Aesthetics LLC
Organization subpart
No
Enumeration date
Sep 17, 2024
Certification date
Sep 26, 2024
Last updated
Sep 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner––Yes

Practice location

213 S Canyon St
Carlsbad, NM 88220-5734

Phone 575-725-5151

Mailing address

605 E Chapman Rd
Carlsbad, NM 88220-9388

Phone 702-280-2458

Authorized official

Amber Bojorquez
Owner
7022802458

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