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Organization
TRIBALIGHTS TT LLC
Active
Organization
TRIBALIGHTS TT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHOENIX GERMANO (OWNER)
(310) 721-4398
Entity
Organization
Contact information
Practice address
4001 OFFICE COURT DR STE 1006, SANTA FE, NM 87507-4929
(310) 721-4398
Mailing address
4001 OFFICE COURT DR STE 1006, SANTA FE, NM 87507-4929
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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