| Soma Sagrada, Llc | |
|
1708 Anderson Pl Se Albuquerque NM 87108-4406 | |
| (314) 402-9392 | |
| Not Available |
| Full Name | Soma Sagrada, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1708 Anderson Pl Se, Albuquerque, New Mexico |
| Authorized Official Name and Position | Elizabeth King (OWNER) |
| Authorized Official Contact | 3144029392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soma Sagrada, Llc 1708 Anderson Pl Se Albuquerque NM 87108-4406 Ph: () - | Soma Sagrada, Llc 1708 Anderson Pl Se Albuquerque NM 87108-4406 Ph: (314) 402-9392 |
| NPI Number | 1730783721 |
|---|---|
| Provider Enumeration Date | 11/30/2020 |
| Last Update Date | 11/30/2020 |
| Certification Date | 11/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730783721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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