| Aloha Wellness Inc. | |
|
1301 Lomas Blvd Nw Albuquerque NM 87104-1201 | |
| (505) 401-9786 | |
| (505) 401-9786 |
| Full Name | Aloha Wellness Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1301 Lomas Blvd Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Ramona T Silva (OWNER) |
| Authorized Official Contact | 5054019786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aloha Wellness Inc. 2100 San Venito Rd Nw Albuquerque NM 87104-2578 Ph: (505) 401-9786 | Aloha Wellness Inc. 1301 Lomas Blvd Nw Albuquerque NM 87104-1201 Ph: (505) 401-9786 |
| NPI Number | 1235262791 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235262791 | NPI | - | NPPES |
| 92782850 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 711 (New Mexico) | Primary |
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