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Organization
THE VICTORIAN HOUSE SLEEP CENTER LLC
Active
Organization
THE VICTORIAN HOUSE SLEEP CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO MORENO SR. (OWNER)
(505) 319-9617
Entity
Organization
Contact information
Practice address
4036 CORRALES RD, CORRALES, NM 87048-9308
(505) 319-9617
Mailing address
5109 MENAUL BLVD NE, ALBUQUERQUE, NM 87110-3045
(505) 888-6200
(505) 888-6202
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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