Organization
RESTORE MEDICAL SPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA GALLEGOS (DIRECTOR)
(505) 281-5180
Entity
Organization
Contact information
Practice address
3500 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87106-1215
(505) 814-1995
(505) 433-5127
Mailing address
12127B N STATE HWY 14 STE 5, CEDAR CREST, NM 87008-9557
(505) 281-5180
(505) 281-5320
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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