Circle Of Life | |
1102a Paseo De Onate Espanola NM 87532 | |
(505) 852-1377 | |
Not Available |
Full Name | Circle Of Life |
---|---|
Speciality | Community/behavioral Health |
Location | 1102a Paseo De Onate, Espanola, New Mexico |
Authorized Official Name and Position | Sue Chavez (BILLING SPECIALIST) |
Authorized Official Contact | 5058521977 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Circle Of Life Po Box 969 San Juan Pueblo NM 87566-0969 Ph: () - | Circle Of Life 1102a Paseo De Onate Espanola NM 87532 Ph: (505) 852-1377 |
NPI Number | 1558668434 |
---|---|
Provider Enumeration Date | 02/11/2011 |
Last Update Date | 04/19/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558668434 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | M-07620 (New Mexico) | Primary |
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