Devine Family Healthcare

NPI 1013086685 - Clinic/Center - 261QP2300X

NPI Details
NPI 1013086685
Enumeration Date 11/07/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARY J MARY
Position OWNER
Phone (505) 859-0686
Fax (505) 565-2835
Practice Location
38 APACHE PLUME RD
LOS LUNAS NM, 87031-9545, US
Phone (505) 859-0686
Fax (505) 565-2835
Business Location
PO BOX 907
BELEN NM, 87002-0907, US
Phone (505) 859-0686
Fax (505) 565-2835
Toxanomy
Taxonomy Code 261QP2300X
License State New Mexico
License Number R48132
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According to our database, Devine Family Healthcare NPI is 1013086685, taxonomy code is 261QP2300X and license number is R48132, license state is located at New Mexico. Devine Family Healthcare physically located at 38 Apache Plume Rd, Los Lunas NM, 87031-9545. NPI Number 1033115704 has the healthcare provider type.

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1013086685 NPI number is provided on an as is basis without warranty of any kind. 1013086685 is maintained by the National Plan & Provider Enumeration System. The contents of Devine Family Healthcare are for informational purposes only.