# SLEEP EZE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619532652
- **Authorized official:** RACHEL DOUGLAS (PRESIDENT)
- **Authorized official phone:** (520) 405-4088

## Contact information

- **Practice address:** 4801 N BUTLER AVE STE 6102, FARMINGTON, NM 87401-2624
- **Practice address phone:** (505) 325-9495
- **Practice address fax:** (505) 325-0705
- **Mailing address:** 4801 N BUTLER AVE STE 6102, FARMINGTON, NM 87401-2624
- **Mailing address phone:** (505) 325-9495
- **Mailing address fax:** (505) 325-0705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | — |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/06/2019
- **Last updated:** 02/23/2024