Organization
TRIDENT CORE LLC
Active
Other names
Luxxe Hair and Med Spa
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL BANCROFT (MANAGER)
(505) 216-1152
Entity
Organization
Contact information
Practice address
524 W CORDOVA RD, SANTA FE, NM 87505-1822
(505) 216-1152
Mailing address
524 W CORDOVA RD, SANTA FE, NM 87505-1822
(505) 216-1152
Taxonomy
Speciality
Code
Description
License number
State
172P00000X
Naprapath
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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