Organization
SUPERHEALTH, INC.
Active
Other names
SuperHealth, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MUKTA KAUR KHALSA (DIRECTOR)
(505) 699-6505
Entity
Organization
Contact information
Practice address
19 LUMBRE DEL SOL, ESPANOLA, NM 87532-6701
(505) 699-6505
Mailing address
19 LUMBRE DEL SOL, ESPANOLA, NM 87532-6701
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
05/12/2020
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