Organization
INTEGRATED WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA KAWIKA PEIPER (CHIEF OPERATING OFFICER)
(505) 433-0335
Entity
Organization
Contact information
Practice address
10209 NACIMIENTO ST NW, ALBUQUERQUE, NM 87114-4457
(505) 433-0335
Mailing address
10209 NACIMIENTO ST NW, ALBUQUERQUE, NM 87114-4457
(505) 433-0335
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
FA01022864
NM
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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