| Knew Creation Llc | |
|
1100 E Murray Dr Farmington NM 87401-7234 | |
| (505) 402-6886 | |
| Not Available |
| Full Name | Knew Creation Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1100 E Murray Dr, Farmington, New Mexico |
| Authorized Official Name and Position | Kitrina Tamminga (OWNER) |
| Authorized Official Contact | 5054026886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Knew Creation Llc 10 Road 3782 Farmington NM 87401-1037 Ph: (505) 402-6886 | Knew Creation Llc 1100 E Murray Dr Farmington NM 87401-7234 Ph: (505) 402-6886 |
| NPI Number | 1235894528 |
|---|---|
| Provider Enumeration Date | 11/02/2021 |
| Last Update Date | 11/02/2021 |
| Certification Date | 11/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235894528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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