Organization
SOAR WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE RAE ABEYTA NP (OWNER/PROVIDER)
(505) 398-9430
Entity
Organization
Contact information
Practice address
6855 4TH ST NW STE B2, LOS RANCHOS, NM 87107-6100
(505) 398-9430
(505) 832-8516
Mailing address
804 ACAPULCO RD NE, RIO RANCHO, NM 87144-6473
(505) 514-5885
(505) 832-8516
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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