Organization
MARIPOSA HEALTH & BEAUTY SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN LOPEZ FNP (OWNER / PROVIDER)
(505) 690-9344
Entity
Organization
Contact information
Practice address
2019 GALISTEO ST STE M5, SANTA FE, NM 87505-2106
(505) 699-9466
Mailing address
2019 GALISTEO ST STE M5, SANTA FE, NM 87505-2106
(505) 699-9466
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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