Organization
RWC REIDS WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DINA JENE REID CNP EX PHYSIOLOGIST (SOLE PROPRIEOTOR)
(505) 250-7114
Entity
Organization
Contact information
Practice address
12300 MENAUL BLVD NE, SUITE A, ALBUQUERQUE, NM 87122-2557
(505) 250-7114
(866) 256-4155
Mailing address
11616 SNOWHEIGHTS BLVD NE, 12300 MENUAL, NE SUITE A ALBUQUERQUE, NEW MEXICO 87122, ALBUQUERQUE, NM 87112-3158
(505) 250-7114
(866) 256-4155
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R07010
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4361044
LLC
NM
Enumeration date
01/31/2007
Last updated
01/24/2011
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