Nm Spirit Of Wellness LLC
Family Medicine in Albuquerque, NM. Organization (NPI-2).
NPI number1982163267
StatusActive
Last updated in NPPESOct 20, 2019
Details
- NPI
- 1982163267
- Entity type
- Organization (NPI-2)
- Legal business name
- Nm Spirit Of Wellness LLC
- Organization subpart
- No
- Enumeration date
- Mar 18, 2019
- Last updated
- Oct 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Nm Spirit Of Wellness Lc (Doing Business As)
Practice location
123 Girard Blvd SeAlbuquerque, NM 87106-2227
Phone 505-264-9454 · Fax 505-557-1941
Mailing address
123 Girard Blvd SeAlbuquerque, NM 87106-2227
Authorized official
Jeannett Martinez
Ceo
5052649454
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