| Jrw Wellness Llc | |
|
506 W La Entrada Corrales NM 87048-8605 | |
| (619) 252-6187 | |
| Not Available |
| Full Name | Jrw Wellness Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 506 W La Entrada, Corrales, New Mexico |
| Authorized Official Name and Position | Allison West (NURSE PRACTITIONER) |
| Authorized Official Contact | 6192526187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jrw Wellness Llc Po Box 6 Corrales NM 87048-0006 Ph: (619) 252-6187 | Jrw Wellness Llc 506 W La Entrada Corrales NM 87048-8605 Ph: (619) 252-6187 |
| NPI Number | 1194554410 |
|---|---|
| Provider Enumeration Date | 07/26/2024 |
| Last Update Date | 07/26/2024 |
| Certification Date | 07/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194554410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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