Organization
DAR A LUZ BIRTH & HEALTH CENTER
Active
Other names
Full Circle Midwifery Birth & Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ABIGAIL L EAVES CNM (EXECUTIVE DIRECTOR)
(505) 924-2229
Entity
Organization
Contact information
Practice address
7708 4TH ST NW, LOS RANCHOS, NM 87107-6510
(505) 924-2229
Mailing address
7708 4TH ST NW, LOS RANCHOS, NM 87107-6510
(505) 924-2229
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63589079
—
NM
Enumeration date
07/05/2008
Last updated
10/13/2016
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