WOMENS WELLNESS BIENESTAR DE LA MUJER, LLC
Nursing at Maestas Rd, Ranchito, NM

License number
New Mexico CNP00496
Category
Nursing
Type
Women's Health
Owner
Name: CORAL D. PITKIN CNP
Title: OWNER
Phone: (575) 613-6118
Address
Address 2
1331 Maestas Rd, Ranchito, NM 87571
PO Box 2286, Rancho Taos, NM 87557
National Provider ID: 1578862975
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WOMENS WELLNESS BIENESTAR DE LA MUJER, LLC

Ranchito, NM

Status:
Inactive
Industry:
Health/Allied Services
Doing business as:
Womens Wellness Bienestar De La Mujer
Registration:
Dec 22, 2010
Addresses:
1040 Calle Del Sol  , Taos, NM 87571 (Mailing)
1331 Maestas Rd, Ranchito, NM 87571
State ID:
4382149
Business type:
Domestic Limited Liability Company
Organizer, Nurse Practitioner, Owner:
Coral D Pitkin (Organizer, Nurse Practitioner, Owner)

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