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Organization
KIDNEY WELLNESS CENTER LC
Active
Organization
KIDNEY WELLNESS CENTER LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSVALDO RENE DE LA VEGA MD (MANAGING MEMBER)
(575) 496-9501
Entity
Organization
Contact information
Practice address
755 S TELSHOR BLVD STE 101, LAS CRUCES, NM 88011-4688
(575) 496-9501
Mailing address
6825 BRIGHT VIEW RD, LAS CRUCES, NM 88007-8935
(575) 496-9501
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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