Organization
DEFINED FITNESS, LLC
Active
Other names
Defined Wellness LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA GEORGE (CFO)
(505) 349-4444
Entity
Organization
Contact information
Practice address
4930 MCLEOD RD NE, ALBUQUERQUE, NM 87109-2118
(505) 349-4444
Mailing address
4930 MCLEOD RD NE, ALBUQUERQUE, NM 87109-2118
(505) 349-4444
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
121001
NM
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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