Just Rejuvenateen Health Center Llc | |
8300 San Pedro Dr Ne Ste C Albuquerque NM 87113-1704 | |
(505) 907-5652 | |
(505) 212-4021 |
Full Name | Just Rejuvenateen Health Center Llc |
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Speciality | Clinic/Center |
Location | 8300 San Pedro Dr Ne Ste C, Albuquerque, New Mexico |
Authorized Official Name and Position | Justeen Griego (OWNER) |
Authorized Official Contact | 5052880393 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Just Rejuvenateen Health Center Llc 1315 Bernardo Ct Ne Albuquerque NM 87113-0008 Ph: (505) 288-0393 | Just Rejuvenateen Health Center Llc 8300 San Pedro Dr Ne Ste C Albuquerque NM 87113-1704 Ph: (505) 907-5652 |
NPI Number | 1184341372 |
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Provider Enumeration Date | 10/27/2022 |
Last Update Date | 12/08/2023 |
Medicare PECOS PAC ID | 0648631507 |
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Medicare Enrollment ID | O20230725004133 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184341372 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Justeen Griego |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437637758 PECOS PAC ID: 9335485986 Enrollment ID: I20190118000405 |
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