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Organization

LA BELLA SPA SALON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAWN DAVIDE (OWNNER)
(505) 899-5557
Entity
Organization

Contact information

Practice address
10126 COORS BLVD NW, ALBUQUERQUE, NM 87114-4022
(505) 899-5557
Mailing address
9687 ASBURY LN NW, ALBUQUERQUE, NM 87114-4344
(505) 206-2378

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
LMT2169
NM

Other

Enumeration date
07/03/2014
Last updated
07/03/2014
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