Organization
LIFE FAMILY HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILOU T LINATOC (CNP)
(505) 379-3941
Entity
Organization
Contact information
Practice address
717 ENCINO PL NE, SUITE 4, ALBUQUERQUE, NM 87102-2611
(150) 537-9394
Mailing address
717 ENCINO PL NE, SUITE 4, ALBUQUERQUE, NM 87102-2611
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
CNP 01894
NM
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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