| Circle Of Life | |
|
1102a Paseo De Onate Espanola NM 87532 | |
| (505) 852-1377 | |
| Not Available |
| Full Name | Circle Of Life |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1102a Paseo De Onate, Espanola, New Mexico |
| Authorized Official Name and Position | Sue Chavez (BILLING SPECIALIST) |
| Authorized Official Contact | 5058521977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Circle Of Life Po Box 969 San Juan Pueblo NM 87566-0969 Ph: () - | Circle Of Life 1102a Paseo De Onate Espanola NM 87532 Ph: (505) 852-1377 |
| NPI Number | 1558668434 |
|---|---|
| Provider Enumeration Date | 02/11/2011 |
| Last Update Date | 04/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558668434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | M-07620 (New Mexico) | Primary |
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