Womens Wellness Bienestar De La Mujer, Llc

NPI 1578862975 - Nurse Practitioner - 363LW0102X

NPI Details
NPI 1578862975
Enumeration Date 03/24/2011
Last Updated 04/30/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name CORAL D. CORAL
Position OWNER
Phone (575) 613-6118
Fax (866) 521-1434
Practice Location
1331 MAESTAS RD
TAOS NM, 87571-6268, US
Phone (575) 613-6118
Fax (866) 521-1434
Business Location
PO BOX 2286
RANCHOS DE TAOS NM, 87557-2286, US
Phone (575) 613-6118
Fax (866) 521-1434
Toxanomy
Taxonomy Code 363LW0102X
License State New Mexico
License Number CNP00496
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According to our database, Womens Wellness Bienestar De La Mujer, Llc NPI is 1578862975, taxonomy code is 363LW0102X and license number is CNP00496, license state is located at New Mexico. Womens Wellness Bienestar De La Mujer, Llc physically located at 1331 Maestas Rd, Taos NM, 87571-6268. NPI Number 1033115704 has the healthcare provider type.

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1578862975 NPI number is provided on an as is basis without warranty of any kind. 1578862975 is maintained by the National Plan & Provider Enumeration System. The contents of Womens Wellness Bienestar De La Mujer, Llc are for informational purposes only.