Organization
NEERLY FAMOUS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOVELLA BLINZLER LIC-NMB OF B C (PRESIDENT/OWNER/OPERATOR)
(505) 325-8360
Entity
Organization
Contact information
Practice address
2501 E 20TH ST., SUITE #4, FARMINGTON, NM 87401-4448
(505) 325-8360
(505) 327-2424
Mailing address
2501 E 20TH ST., SUITE #4, FARMINGTON, NM 87401-4448
(505) 325-8360
(505) 327-2424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4960
NM
225700000X
Massage Therapist
Primary
4960
NM
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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