| Nm Spirit Of Wellness Lc | |
|
123 Girard Blvd Se Albuquerque NM 87106-2227 | |
| (505) 264-9454 | |
| (505) 557-1941 |
| Full Name | Nm Spirit Of Wellness Lc |
|---|---|
| Speciality | Family Medicine |
| Location | 123 Girard Blvd Se, Albuquerque, New Mexico |
| Authorized Official Name and Position | Jeannett Martinez (CEO) |
| Authorized Official Contact | 5052649454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nm Spirit Of Wellness Lc 123 Girard Blvd Se Albuquerque NM 87106-2227 Ph: () - | Nm Spirit Of Wellness Lc 123 Girard Blvd Se Albuquerque NM 87106-2227 Ph: (505) 264-9454 |
| NPI Number | 1982163267 |
|---|---|
| Provider Enumeration Date | 03/18/2019 |
| Last Update Date | 10/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982163267 | NPI | - | NPPES |
| 14350673 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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