Bare Nutrition LLC
Clinic/Center in Las Cruces, NM. Organization (NPI-2).
NPI number1982225017
StatusActive
Last updated in NPPESJan 20, 2022
Details
- NPI
- 1982225017
- Entity type
- Organization (NPI-2)
- Legal business name
- Bare Nutrition LLC
- Organization subpart
- No
- Enumeration date
- Apr 29, 2020
- Certification date
- Jan 20, 2022
- Last updated
- Jan 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
1155 S Telshor Blvd Ste 301Las Cruces, NM 88011-4757
Phone 575-649-0073
Mailing address
C/O Bbp Services LLC1180 Commerce Dr Suite 13880
Las Cruces, NM 88013-4636
Phone 575-649-0073
Authorized official
Amanda J Esquibel
Owner
5756490073
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