Organization
BODY BELLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE QUILLEN CNP (OWNER)
(575) 644-3786
Entity
Organization
Contact information
Practice address
5020 CREOSOTE RUN RD, LAS CRUCES, NM 88011-2541
(575) 644-3786
Mailing address
5020 CREOSOTE RUN RD, LAS CRUCES, NM 88011-2541
(575) 644-3786
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
CNP00223
NM
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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